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.
Foods and other factors that contribute most to the development of heartburn symptoms include: (5) 1  A poor diet: Those who consume lots of processed foods, high-sodium foods, caffeine, alcohol, chocolate, sugar and refined grains are at the highest risk for all sorts of indigestion, including heartburn.