[Rog]

It could be caused by simply the fact that she may be used to going down into a car as opposed to up into the Q5. Seat and steering wheel adjustment may help.

If the pain persists it would be worth her seeing an oesteopath who could also compare her symptons with the seat position to identify a solution or if her spine is out of alignment fix it.

The off centre pedal issue was specifically the manual models.

Usually higher seating position in suvs are better for people with bad backs.