The prognosis of isolated volar plate sprains of the proximal interphalangeal (PIP) joint is related to the extension deficit. Some consider an associated avulsion fracture as a sign of severity. The goal of this study was to find out whether the outcomes of conservative treatment in PIP volar plate injury was impacted by the presence of an avulsion fracture.
Heartburn Prevention. As stated above, heartburn can be reduced or prevented by a stepwise treatment program that includes lifestyle changes, avoiding certain foods, OTC medications, prescription medications, and infrequently, surgical intervention.
The most common heartburn triggers are  acidic foods, greasy foods, caffeine, chocolate, spicy foods, onion and alcohol. These triggers cause the valve between your stomach and esophagus to stay open and to allow stomach acid to back up, causing discomfort and pain associated with heartburn. There are some dishes that combine more than one heartburn trigger and if you suffer from heartburn, they are totally forbidden for you unless you want to punish yourself for your gluttony.