Quadratus Lumborum Block for Total Hip Arthroplasty

Inclusion Criteria: * Adult subjects undergoing elective primary total hip arthroplasty Exclusion Criteria: * patients age \< 18, * documented allergy to local anesthetic * presence of peripheral neuropathy * patients with current long term opioid use defined as receiving an opioid on most days in a 90 day period * patients with a contraindication to spinal and regional anesthesia such as coagulopathy or infection at the site of the regional technique.