I have had joint pain in my knees since I was 10. Now the pain is in my hips/knees, elbows, and sometimes toes and fingers. I have bad headaches and dizziness. I am constantly getting cold sores in my mouth. I have a positive ANA test of 1:40 and my ESR was 32 mm/hr. My other tests came back negative. The joint pain is really bad. It isn't all the time but when I happens, its aweful. I'd say it is happening 2-3 times a week.