My 13 yo daughter has been having issues with her

Patient

Q: My 13 y.o. daughter has been having issues with her knees. Mostly the left one, but the pain is in both. Worsens after activity or standing for longer amounts of time. There is usually redness and slight inflamation. She says that they feel warm and kind of tickle, sometimes they twitch and sting even. Could it just be part of her being pigeon toed or something else? Any ideas? We've gone to a doctor and nothing showed up in x ray or CAT scan.

Doctor

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