Pain Control With Pre-operative Cryoneurolysis Following TKA

Inclusion Criteria: * any patient scheduled for primary total knee arthroplasty(TKA) Exclusion Criteria: * Bilateral TKA (patients routinely receive spinal anesthesia) * Minors * Patients reporting a history of Raynaud's disease * Patients with an open and/or infected wound on surgical knee * Patients who are taking opioids during the pre-operative period due to knee pain * Patients who cannot return for the cryoneurolysis treatment 7 days prior to surgery or post-operative clinical visits * Patients whose insurance would deny payment for the cryoneurolysis treatment * Pregnant patients * Patients unable to speak and read English