Resteck Shiatsu Neck and Back Massager (brand name), with recommended use for at least every 2 hours for at least 15 minutes on the first post-operative day and then every 4 hours for 2 days and then as needed.

Standard pain treatment:

1. Local anesthetic agent at the incision sites include: 0.5% Marcaine (10 cc) + 0.5% lidocaine and epinephrine (10 cc) (total volume: 20 cc)
2. Morphine 2 mg: Intravenous administration every 2 hours or as needed, if unable to take pills by mouth
3. Oxycodone 5 - 10 mg elixir: oral administration every 6 hours or as needed
4. Tylenol 650 mg Tab: oral administration every 6 hours

30cc of 0.25% Marcaine spray on the diaphragm at the end of surgery.

Standard pain treatment:

1. Local anesthetic agent at the incision sites include: 0.5% Marcaine (10 cc) + 0.5% lidocaine and epinephrine (10 cc) (total volume: 20 cc)
2. Morphine 2 mg: Intravenous administration every 2 hours or as needed, if unable to take pills by mouth
3. Oxycodone 5 - 10 mg elixir: oral administration every 6 hours or as needed
4. Tylenol 650 mg Tab: oral administration every 6 hours

will receive standard pain treatment include local anesthetic agent at the incision sites + oral Tylenol and oral or IV opioid as breakthrough pain treatment postoperatively as needed.

Standard pain treatment:

1. Local anesthetic agent at the incision sites include: 0.5% Marcaine (10 cc) + 0.5% lidocaine and epinephrine (10 cc) (total volume: 20 cc)
2. Morphine 2 mg: Intravenous administration every 2 hours or as needed, if unable to take pills by mouth
3. Oxycodone 5 - 10 mg elixir: oral administration every 6 hours or as needed
4. Tylenol 650 mg Tab: oral administration every 6 hours

back massager device sold on the market that can readily be purchased online or in store

Pain score questionnaire to rate pain on a scale of 0 - 10, with 0 being no pain and 10 being the worst possible pain imaginable. The higher the score, the worse the outcome.

Subject diary to list any medications taken for pain relief after surgery, and will list the following: name of medication, dose of medication, date and time medication taken