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.
Heartburn Treatment. 1  Learn to avoid foods -- including fatty or greasy foods, peppermint and chocolate--and drugs, that cause heartburn. 2  Eat four or five small meals a day instead of any big meals. 3  Chew food slowly and thoroughly before you swallow. 4  Avoid stress and agitation while eating meals.