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I went to the chiropractor earlier this week wearing 4 1/2" stiletto heels, and he didn't say anything. I was kind of prepared for a discussion, but none ensued. It's not happened a lot, because I usually stop in on my way home from work, so it's a non-issue, but on several occasions when I've been in "civilian" clothing, I've changed my shoes to go up there because I didn't feel like talking about it. Maybe that has become unnecessary.