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It's possible and common for gymnasts to hurt due to overuse. If she's been doing a lot of tumbling and pounding it could be a reason for her ankle to hurt, and her shoulder may be hurting because she's using it more to be compensate for her hurting elbow. I recommend making sure that she properly stretch before and after working out, as well as taking preventative measures.
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"Never, never, never, never give up." Winston Churchill
"I can do all things through Christ who gives me strength." Philippians 4:13
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