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.
A: A perforated viscus is caused by perforated peptic ulcers, colon ischamia, colon diverticulitis, colon cancer, stomach perforations and possibly injuries beneath the nipples, states Dr. Jason Smith, who is a colorectal surgeon.