After experiencing knee and ankle joint pain, what tests should be conducted?

Patient's question:

Problem Description: My daughter has been experiencing frequent pain in her knee and ankle joints since she was 4 or 5 years old. After starting elementary school, she mentioned joint pain even more often, especially on days with physical education classes. When she visited the hospital for examination, no issues were found, and rheumatoid blood tests were also conducted with no abnormalities. Could you please advise on the possible cause? Should any other tests be considered?

Doctor's answer:

Children aged 4 to 5 often experience knee and ankle joint pain, which is mainly caused by the following reasons:
1. Trauma.
2. Lack of trace elements.
3. Developmental abnormalities.
4. Growing pains.
5. Transient synovitis.
Therefore, trace element levels should also be checked.

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