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.
1 Avoid foods that irritate the stomach such as spices, alcohol and hot peppers. 2  Restrict your intake of caffeinated beverages and foods such as coffee, colas and chocolates. 3  Reduce your intake of citrus juices, tomatoes and foods rich in fat. 4  These foods can contribute to and aggravate heartburn.