Total knee arthroplasty (TKA) patients experience significant post-operative pain which can lead to poor sleep quality, depression, and anxiety that can impede recovery (Shen et al., 2021) . This makes pain control a critical aspect of the patient care and recovery process. Pain management during and after TKA can involve a variety of interventions, including opioids (Karlsen et al.,2017) . Orthopedic surgeons tend to prescribe more narcotics than...