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Published on: 7/14/2026

What might cause the left side of my chest to hurt when I breathe?

Left-sided chest pain when breathing is most commonly caused by inflammation of the lung lining (pleurisy) or irritation of the chest wall muscles and cartilage, such as costochondritis. Other possible causes include rib injuries, muscle strain, pneumonia, or, less commonly, a pulmonary embolism or heart-related condition. The specific cause often depends on the pain's sharpness, location, and triggers.

Because chest pain can range from harmless to serious, identifying the likely cause early is important for peace of mind and proper care. A free, instant, online symptom check can help you clarify your symptoms, evaluate possible conditions, and decide whether home care, a doctor's visit, or urgent attention is the right next step.

Reviewed for medical accuracy: 07/14/2026

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Explanation

When you experience pain on the left side of your chest while breathing, it could be a sign that something is irritating the tissues that move during each breath. One common cause is pleurisy, which is inflammation of the pleura, the thin lining around the lungs. This inflammation can cause a sharp or stabbing pain that worsens with deep breaths or coughing. Another possible cause is costochondritis, where the cartilage connecting your ribs to your breastbone is irritated or swollen. This musculoskeletal issue can produce pain when the chest wall moves during breathing. Sometimes, lung infections like pneumonia or other respiratory conditions can also lead to chest pain that is accentuated when you breathe. Although cardiovascular causes may also lead to chest pain, pain that specifically worsens with breathing is more commonly linked to respiratory or chest wall problems. However, chest pain with breathing can also be a symptom of a pulmonary emboli and this requires immediate attention, especially if accompanied by a sensation as though your heart is racing, dizziness or shortness of breath. It is important to pay attention to other symptoms, such as fever, shortness of breath, or pain that gets worse over time. To help identify what might be causing your symptoms, try Ubie's free AI symptom checker before speaking with your doctor so they can evaluate your condition and recommend appropriate tests or treatments.

(References)

  • Brims FJ, Davies HE, Lee YC. Respiratory chest pain: diagnosis and treatment. Med Clin North Am. 2010 Mar;94(2):217-32. doi: 10.1016/j.mcna.2010.01.003. PMID: 20380952.

  • Hickam DH. Chest Pain or Discomfort. In: Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths; 1990. Chapter 9.

  • Jany B. Pneumologische Ursachen für Thoraxschmerz [Pulmonary causes of chest pain]. Internist (Berl). 2017 Jan;58(1):22-28. German. doi: 10.1007/s00108-016-0169-9. PMID: 27986981.

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