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JAMES GRAY

   
     

James, 73, worked for most of his life in Electrical Contracting and has two grandchildren.

In my youth I spent a lot of time training for fitness and attended a gymnastic class three evenings per week.  I also did a lot of cycling.

I have kept in reasonable good health apart from psoriasis which started in my late 30s and in later years was accompanied with arthritis at first in my back and then progressively my knees gave me trouble and by 1992 I started having real problems with both back and knees.

  Case Study - James Gray
 

As I was getting nowhere with pain killers prescribed by my doctor, I contacted Celtic Football Club and spoke to their Physiotherapist, who advised me to consult privately, an Orthopaedic Surgeon in Glasgow.  The results of that were several minor operations including, keyhole surgery to trim the damaged cartilage. He then suggested “half joints” but not until I was over 65.

For many years my left knee had given me considerable pain, but when my right knee also gave up I then had to take time off work.  I rested it for a few weeks then only took on jobs that did not require too much physical effort. Soon it became obvious that I would need to finish up working altogether. 

In 1998 I went back to see the surgeon again.  He then suggested that I should have full joint replacements, as “half joints” were not lasting more than five years.  Although I was having a lot of pain walking, I found I had little pain when cycling on the flat which allowed me get to places on my bike that were restricted to me walking.

My main concern was, would I be able to cycle.  He could not however guarantee that I would be able to do so, for, if I got more than 90 degree, I could take that as a bonus.  Not enough to cycle!

He then asked me how far I could walk; I told him, that if I had to go 100yards I would take the car rather than walk.  If I endured the pain, I found that if I touched my toes after a short walk, to stretch my back, I found I could then get a bit of relief to carry on.  He reckoned that my back was the bigger problem, and had scans done of my spine.  The result was not good and he would not be prepared to operate as I could finish up in a wheel chair.

He did however introduce me to another Glasgow Orthopaedic Surgeon who specialised on backs.  When he examined the scan results he was confident he could help and I then had two operations on my back; one in 1999 and the other in 2000.  The first was very successful - trimmed slipped disc and removing a ligament that had bent back into the spinal canal. The sheath of this ligament had to be scrapped, which then gave me problems with adhesions. The second one to free the adhesions was not as successful and I now suffer from a numb right foot.

Whilst recovering from all that lot I followed up all and any information I heard about knee joints, writing to several Doctors, Universities and Companies, both here and abroad.

In late August 1999 I read an article in the local paper that Corin had given a sum of money to two Doctors in Monklands Hospital to do further development of knee joints.  I was immediately interested so contacted Corin.

After speaking to Sales Director Jack Thomas I convinced him to send me copy of the Rotaglide Total Knee System brochure, together with a copy of the Nine Years Follow Up paper.  Corin Joints could give 120 degrees.  From my engineering background I could see that Corin Joints were a much better system than any others I had heard of

The Surgeon who had made such a difference to the pain in my back wanted to fit new full knee joints but unfortunately did not use Corin products. Corin had been in contact with him but he told me that he was more than happy with the results they were getting with the joints he was using. He thought I might be able to cycle but was not sure.  I was not convinced so let it dwell for a while.

In 2002 my knees were getting really bad, particularly my left one and I was beginning to walk a bit like John Wayne.  I was reduced to climbing and descending stairs on all fours.  I contacted Corin’s local representative who was most helpful and enthusiastic, and convinced me I was making the right decision to have them done.  He also reckoned that I should be able to cycle after the operation.  This was most important to me in taking the decision to have them done.  When I inquired as to what Surgeons were using Corin joints, he supplied me with three names.

I finally had my first knee replacement done by Mr Gavin Tait in August 2002 who had performed over 200 similar operations.

Once home I did a lot of sleeping but managed to do most things for myself as I live alone.  I did get my “Mrs Mop” to drop in each day for the first week for one hour to make my bed and a quick tidy up.  My daughter, neighbours and sister dropped in to make sure I was OK and did any shopping I needed.  For the first week I was managing to get about the house and garden with the aid of one stick, but did a lot of sitting about and napping.  Week two saw me out doing small jobs in the garden and garage but I was still needing pain killers to get me through the day.  I also took several naps as I was not sleeping too well at night.  I made myself a frame to keep the bed clothes off my legs as I found turning in sleep wakened me.

The next month was much the same, not sleeping very well at nights, pottering about and sleeping a lot during the day. It was during this month that I tentatively started making my left leg lift me up a step on the stairs and each day increased it until I could walk up and down the stairs upright only using the hand rail on one side and a walking stick on the other.

Week seven saw me back driving which was a good thing as I was getting restless with nothing to do. Now I could get out and about and see what was going on.

By week ten I tried walking further than I have walked in years but it was my back, my ankles and right knee that controlled how far I could go.

I was back to cycling by week eleven although only three miles on first outing.  I try to get out cycling three times per week, although weather and events often reduce this. Keeping to the flat paths, I am lucky to have Strathclyde Park and Loch near at hand.  Whilst cycling I also try to do at least five miles and keep to the lower gears so as to continue to stretch my knee.    The joint feels a bit tight when I start but soon eases off and feels normal after bout 2000 turns.

Although I knew I would have to go through all this hassle and pain again with my right knee, I could hardly wait till my next visit to Mr Tait to get started again. The pain after the operation is so much different from the arthritic pain and each day it gets easier. The arthritic pain just keeps getting worse.  Now I have had my right knee joint replaced by Mr Tait, I find it has come along so much faster than the left one, probably as I now have a good knee to support the recovering one and a better idea of what to expect.

When Mr Tait asked me to consult with him on the anniversary of my operation I thought it a bit long, but he was correct, as it has taken me a complete year for my knee to be fully back to normal.  Having said that for the last six months it has been behaving like normal, although that is a bit of an over statement as there always has been a bit of stiffness about, but no pain.

I do however feel fortunate that I live in a time where Technology and Surgery has advanced to the present level, where it is possible to be able to have worn out knee joints replaced with such efficient replacements.