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.
But the WORST culprit for me is eating SPICY foods. Eating a spicy dish is almost guaranteed to cause me major discomfort. Other foods that can lead to heartburn are tomatoes, onions, chocolate, coffee, alcohol, and caffeine. Also, dishes high in fats and oils and certain medications will do the same.