There are many causes of joint pain in children and adolescents. Arthritis is one we are always on the lookout for. However, there are many other factors that may cause joint pain in children with arthritis and those without. One common example is hypermobility – when the joints are very flexible – which can be associated with some joint discomfort. Other potential causes of joint pain include patellofemoral syndrome (i.e. ‘loose’ knee caps), flat feet, ligament or tendon problems, or overuse. In children with JIA, there may also be some degree of joint damage that could result in persistent pain. There is also some evidence that children and adolescents with JIA can be sensitized to feel more pain because of the prior inflammation. Overall, it is important to bring up pain and other joint symptoms to your rheumatology team so that they can be evaluated and addressed appropriately.