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 is a very common digestive problem linked to acid reflux, a condition where stomach acid and other contents flow backward from the stomach into the esophagus. This causes heartburn symptoms like burning sensations, chest pain, a sour taste in the mouth, and sometimes coughing or gassiness. Risk factors and causes of heartburn include eating a poor diet, obesity, a sedentary lifestyle, older age and high levels of inflammation.
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.