Inclusion Criteria:  Patients undergoing primary anterior cruciate ligament reconstruction with autograft Has not used narcotic pain medication in 3 months Ages of 18+ Proficient in the English language Willing and able to follow study protocol  Exclusion Criteria:  ACL repair, revision surgery, or allograft Multi-ligamentous knee injuries Cartilage procedures that prevented adherence to the immediate weightbearing and range of motion rehabilitation protocol Patients taking baseline opioid for other injury Dementia or other psychiatric illness that would preclude accurate evaluation Pregnant or lactating patients Non-English speakers as questionnaires are only available in English