<s>[INST] My 21 year old daughter is complaining of a sharp back pain and it going to her hip. She says that she has tried to eat, but it comes back up. She s at college and rides horses. I already asked if she has fallen off, but she says no. I already recommended that she go to an ER facility near her, but she is 2 hours away and I am wondering what it could be before hand. [/INST] Hello, I have studied your case. Gyaenacological reasons may also lead to back pain.When such patient comes to my hospital we usually take x ray spine or if required MRI to see for any nerve compression.Medication like methylcobalamine and analgesic will reduce pain; you can take them consulting your treating doctor.You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.Some life style modifications to prevent pain– Take break every 40 min from computer/work and do some lumbar rotation, stretches, walk and get back to work. Sit with taking support to your back, and good posture in bed which may also aggravate pain.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Take care. </s>