The Stiletto heel is named after the Audrey Hepburn film of the same name. Shoes may vary from a simple flip-flop to a complex boot. Although high heels originated as male footwear around 1500, since the late 1700s, men's shoes have had primarily low heels. Each manufacturer has developed its own proprietary lasts for producing boots, which are considered trade secrets and are highly guarded. If it is not possible to avoid high heels altogether, some doctors suggest that the wearer wear high-heels no more often than twelve hours a day, and that they are spending at least a third of the time on their feet in contour-supportive "flat" shoes (such as exercise sandals), or well-cushioned "sneaker-type" shoes, saving high heels for special occasions. The stiletto of certain kinds of high-heels can damage some types of floors. Despite its close association with US culture,.

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