1 Heel pain can be caused by stress placed on the plantar fascia ligament when it is stretched irregularly, which causes small tears and inflammation. Stretching and strengthening exercises can help the ligament become more flexible and can strengthen muscles that support the arch, in turn reducing stress on the ligament.tretching or massaging the plantar fascia before standing up can often reduce heel pain. 1  Stretch your foot by flexing it up and down 10 times before standing. 2  Do toe stretches to stretch the plantar fascia.
Presence of a predisposing condition - Predisposing conditions include peptic ulcer disease, acute appendicitis, acute diverticulitis, and inflamed Meckel diverticulum. Indeed, acute appendicitis is still one of the common causes of bowel perforation in elderly patients and is associated with relatively poor outcomes.
Perforated Bowel Symptoms. Symptoms of a perforated bowel include: 1  Abdominal pain 2  : Pain is usually severe. 3  Pain often starts abruptly. 4  Pain worsens with movement. 5  Pain usually occurs all over the abdomen, rather than in one region. 6  Lower abdominal pain. 7  Upper abdominal pain. 8  Pain may radiate to the back.