While an extremely pointed toe is a modern stylization appearing in the 1940s, the toe of the original boots retained the more rounded shape of other boots. The Stiletto heel is named after the Audrey Hepburn film of the same name. Shoes may have high or low heels, although in western cultures, high heels are considered a woman's style. Today, high-heels are typically worn by women, with heights varying from a Cuban heel of 1½" height to a stiletto heel (or spike heel) of 4" or more. While dismounted, the shaft helped protect the leg and foot from rocks, brush, thorns, and snakes. In wet weather or creek crossings, the high tops helped prevent the boot from filling with mud and water. If it is not possible to avoid high heels altogether, some doctors suggest that the wearer wear high-heels no more often.

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