Except the actual quote is "sorry ! did it hurt !?" the !? evoke to me more a surprised realization and asking for confirmation rather than actually asking. She knows it shouldn't hurt her, but it did anyway, so it's probably not that she asked because she ignored her before considering she apologized.
A lot of people no longer bother much with it, but ponctuation matters when it comes to give the tone of a sentence, especially when writing dialogues. "did it hurt ?" and "did it hurt !?" is not the same thing, tone and intent behind the sentence. ^^