24-year-old male who presents to the clinic for severe lower back pain. He cannot take any medications "like Motrin.

24-year-old male who presents to the clinic for severe lower back pain. He cannot take any medications "like Motrin."  He states that the pain is from a car accident in 2012, He also tells you that he has a high pain tolerance, and that when he gets pain meds he requires the higher doses.