Injecting the incision site with marcaine before cutting, followed by aggressive postoperative NSAID use, can help avoid narcotics for incisional pain.

“studies had demonstrated that before you do an incision on a patient if you inject marane which is a longacting uh sodium channel blocker like a you know like the type of you know like a novacaine type thing that the dentist would put in your teeth so you have lidocaine which is short acting marcan which is long acting if you inject the incision site with marcan before you cut you wait a moment you then make the incision and then immediately following surgery you put the patient on a pretty aggressive dose of nids many patients can actually avoid narcotics postoperatively for the incisional pain which is the dominant source of pain”