When it comes to correcting common bone and joint problems, todays leading-edge options can mean greater function, faster for patients.1. Knee and Hip:Partial or total joint replacement can make life more comfortable for people experiencing disability due to arthritis and other adult orthopedic problems. Hip and knee replacement surgeries may be performed traditionally or using minimally invasive procedures, given the individuals needs and preferences. In either case, a portion of the problem joint is removed and an artificial joint (prosthesis) attached using cement or a special material that permits the remaining bone to attach to the new joint. 2. SpineMajor advances have been made in treatment of lumbar (back) and cervical (neck) spine problems. One is the X-Stop spacer to relieve the pain of lumbar spinal stenosis. Implanted during a minimally invasive procedure, the X-Stop lifts the vertebra off the pinched nerve causing the pain. No screws or other hardware are required, and no fusion is needed. 3. ShoulderThe rotator cuff is the muscle-and-tendon network at the top of the upper arm bone that allows the arm to rotate. When it is torn either through a traumatic incident or decades of wear and tear surgery is often the best solution. Arthroscopic repair is performed through small incisions using a fiberoptic scope, instruments about the size of a pencil and a video monitor. Mini-open repair enables surgeons to perform a complete rotator cuff surgery through a tiny incision just 4 to 6 cm long. Open surgical repair may be necessary in complex tears or if reconstruction is necessary. 4. Wrist and handCarpal tunnel syndrome refers to a persistent numbness or tingling sensation in ones thumb, index and middle fingers, and half the ring finger. It starts when the median nerve becomes compressed where it transitions from the forearm into the hand. Treatment generally begins conservatively, with physical therapy, splinting, medications and cortisone injections. Should surgery be required, two outpatient procedures one an open incision through the palm, the other an endoscopic procedure very close to the wrist creases. In both, the objective is to release the transversal carpal ligament.Ed Note: by Deborah Rue, RN, BS, Avista Joint and Spine Care Center CoordinatorTO LEARN MOREFree, informational sessions on joint pain management, joint replacement and advanced spine procedures are held regularly at Avista Adventist Hospital. To learn more, call 303-673-1000 or visit avistahospital.org.