The instillation cocktail my doctor uses is a basic one of Heparin, Lidocaine and Sterile Saline. Many doctors use Sodium Bicarb and when I asked my doctor why he didn’t use that, he told me he wasn’t seeing enough successful results with that in the cocktail. He replaced it with Sterile Saline and, in his practice, he saw much better results.
So if your cocktail has Sodium Bicarb, but you feel it’s painful or not helping, talk to your doctor about replacing it with the Sterile Saline and see if that works.
In addition, some patient’s cocktail includes Kenalog. I could not tolerate Kenalog, but some patients love it. So the point is to be willing to try different cocktails if one doesn’t work, another might. That’s how we found what worked for me.
If you explore several different cocktails and none of them work, you may need a referral to a Qualified Pain Management doctor.
I’ll post a link to the ICA website on the different instillation cocktails that you could consider. Read it! Print out things you want to discuss with your doctor. If he’s not interested talking about other treatments, again, you should look for a new doctor! There are treatments out there that can help and don’t give up until you find better help!