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 is often triggered by foods. This is because certain substances irritate the esophagus or weaken the lower esophageal sphincter (LES), which prevents the backward flow of stomach contents that causes reflux. Triggers can include: 1  alcohol. 2  caffeinated products, such as coffee, soda, and tea. 3  chocolate. 4  citrus fruits. 5  garlic. 6  fatty foods. 7  onions.