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.
Watch out, too, for hidden sources of vinegar in items like ketchup, mustard, relish, tartar sauce, pickles, marinades, etc. Which brings me to the number one cause of chronic heartburn: too much acidity in the gut. Both acid reflex and chronic acid indigestion are caused from too much acid, period.