After experiencing knee and ankle joint pain, what examinations should be done?

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 mentions joint pain even more often, especially on days with physical education classes. Medical examinations have not revealed any significant issues, and rheumatoid blood tests have also shown no problems. What could be the cause? Should other types of examinations be conducted?

Doctor's answer:

Children aged 4-5 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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