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.
Symptoms of heartburn during the night include waking up with a bitter taste in the mouth, a chronic cough, sore throat and fatigue. Here are top tips for night-time heartburn relief: Reduce heartburn risk by limiting acidic foods such as grapefruit, oranges, tomatoes or vinegar.