I can understand how concerned you are for her hip pain.
Before we start to think about what pathology might be causing this I would like to know symptoms in more systematic way.
Where is her pain exactly if she has point out with her index finger?
This is we are trying to differentiate between nociceptive pain from your hip and radicular lower back pain.
What is the quality of her pain (e.g., shooting, electric, dull, aching, etc.)?
Since how long back she is having this pain?
Do any positions aggravate or relieve her symptoms? Has she tried anything to help her pain?
Has she experienced any recent night sweats, weight loss, hematuria, urinary retention, frequency, hesitancy, or cough? Does she have a history of cancer, overseas travel, recent surgery, fever, or increased pain at rest?
Does her pain ever wake her from sleep?
Has she had any recent change in bowel or bladder habits? Does she have any altered sensation in your groin, buttocks, or inner thighs?
Keep me posted.
It may be SI dysfunction, this is common in Cheerleaders and gymnists. One thing that I suggest is to make sure you get a good radiologist to read her xrays. I have had two xrays and the second person realized that I have misshaped hip joints. It is called Acetabular retroversion and is newly diagnosed and not that common. It is causing hip pain for me that radiats down my left left and into my back. It started with my hip and I was diagnosed with both sciatica and SI dysfunction. If you have any questions feel free to ask. I have been researching my condition for over a year and have finally gotten some relief thanks to lidocain patches and massage therapy. Ibuprofen does not work for my pain.
Where is her pain exactly if she has point out with her index finger? The pain is in the middle of her right hip joint.
What is the quality of her pain (e.g., shooting, electric, dull, aching, etc.)? Ache with occasional shooting pain
Since how long back she is having this pain? 1 year
Do any positions aggravate or relieve her symptoms? The aggravation comes and goes. When it is aggravated it hurts the most when she sits and feels the best laying on her back. However, the only thing that really relieves the pain so far is Ibuprofen.
Has she tried anything to help her pain? She tried a chiropractor for a month but it didn't help. So far ibuprofen (she specifically takes Motrin IB) helps ease the pain for a good part of the day.
Has she experienced any recent night sweats, weight loss, hematuria, urinary retention, frequency, hesitancy, or cough? No.
Does she have a history of cancer, overseas travel, recent surgery, fever, or increased pain at rest? Overseas travel to Europe but that was 6 years ago. We're not sure if the pain increases at rest because of the position or if its because the Motrin wears off.
Does her pain ever wake her from sleep? No.
Has she had any recent change in bowel or bladder habits? No.
Does she have any altered sensation in your groin, buttocks, or inner thighs? No.
Current medications: Alesse (oral contraceptives)
Looking forward to hearing from you!
I can understand from your post that she is indeed having hip pain and radicular pain too. Common causes of hip pain include dislocation, fracture, and osteoarthritis. Axial low back pain with a referral pain pattern may also occur in the hip. It is more common, however, for axial low back pain with referral pain to occur in the buttocks and/or leg(s) in a pattern that is difficult to localize.
The other symptom of ache with occasional shooting pain suggests that she might have radicular pain hence the pathology would be nerve compression or nerve impingement.
Her next symptom of pain on sitting and getting relieved by lying suggests she might have spinal disc pathology.
Some symptoms were asked like cough, night sweats etc to see for any serious etiology like infection or tumor.
Other symptoms rules out cauda equina syndrome, conus medullaris etc.
You said her pain is like aching which is occasionally shooting. I would like to know till what level does the pain from the hip shoots down as that would clinch the area of compression at her back.
I think her pain if radiates till knee, then it is due to compression at L3 level. You should be then be consulting an orthopaedician to for further assistance and get imaging study done to see the level of pathology.
Imaging study should include MRI of back.
Keep me posted.