Inclusion Criteria:  ASA I-III patients Age 18 to 65 years  Exclusion Criteria:  Allergy or intolerance to local anesthetics, NSAIDs, or opioids Inability to understand the consent or study process Any contraindication to regional anesthesia Known history of substance abuse Chronic home opioid therapy History of major neurologic deficit in operative limb Chronic pain syndromes Pregnancy and nursing women