chronic pain

I would like to share with you the experience i had during my last week of prac in musculo outpatients. My final Ax pt was a 19 yo female who presented with bilateral non-specific hip pain. as i couldnt access the medical records, all i had to go on was a dr's referral saying hip pain / bursitis / tendonitis - which wasn't particularly helpful!! turns out we couldnt diagnose it any better, as every joint, muscle and stability test i did came back positive - even palpating in regions unrelated to her hips had her almost in tears. i had a long discussion with my supervisor about her as we couldnt identify a specific problem to treat - alot of our findings contradicted each other.
My supervisor explained how even very young pts can have a chronic pain presentation and the resulting widespread sensitivity throughout the body. We shouldnt expect that those with chronic pain are generally middle aged with LBP... it can occur in anyone with a varying range of pathologies, and is something to always be aware of.
With our pt we ended up starting her in hydro for a few sessions to try and get her trusting us and reduce her acute pain, with the goal of getting her to walk for at least 5 mins pain-free.