Inclusion Criteria:  Men and women aged 14 years and older All patients scheduled to undergo an ACLR with or without concomitant procedures such as arthroscopic cartilage procedures, meniscus repair or meniscectomy, and/or lateral extraarticular tenodesis (anterolateral ligament reconstruction) Willing to participate in a perioperative pain management education and counseling program Willing to track pain levels and opioid consumption through surveys administered via text Willing to receive a perioperative regional nerve block Language skills and cognitive ability required to participate in the study Provision of informed consent  Exclusion Criteria:  Revision ACLR Concomitant open cartilage procedures or additional knee ligament repair or reconstruction Concomitant injury that would also influence pain management History of heroin use or opioid abuse requiring treatment If any previous ipsilateral knee surgery except for knee arthroscopy Preoperative Kellgren-Lawrence grade 3 and 4 on weightbearing radiographs An allergy to any of the study medications Previously enrolled in the CARE trial Anticipated problems with the patient returning for follow-up or accurate completion of survey If patient cannot reliably receive texts and use internet to complete surveys