Published on: 5/6/2025
Pain in the middle of the rib cage can be caused by inflammation in the rib joints (costochondritis), irritation of the nerves between the ribs (intercostal neuralgia), or by the rib slipping and pressing on nearby tissues.
When you feel pain right in the middle of your rib cage, one common reason is costochondritis. This happens when the cartilage, which is like a cushion where your ribs meet your breastbone, becomes swollen or sore. Another possible cause is intercostal neuralgia, which means the nerves that run between the ribs are irritated or hurt. Sometimes, a condition called the painful rib syndrome can occur. This is when a rib moves out of place or presses on other parts of your chest, causing a sharp or burning pain. These conditions can make it hurt more when you move your upper body or take deep breaths. It is important to remember that many different things can cause chest pain, so a doctor may need to ask you questions, check you over, and do tests to know exactly what is happening. Getting the right diagnosis helps make sure that you get the best treatment and feel better soon.
(References)
Scott EM, Scott BB. Painful rib syndrome--a review of 76 cases. Gut. 1993 Jul;34(7):1006-8. doi: 10.1136/gut.34.7.1006. PMID: 8344569; PMCID: PMC1374244.
Newman DP, Jansen BJ, Scozzafava A, Smith R, Mclean BC. Rib Mediated Non-Cardiac Chest Pain: A Case Report. Cureus. 2020 Oct 6;12(10):e10831. doi: 10.7759/cureus.10831. PMID: 33173637; PMCID: PMC7645301.
We would love to help them too.
For First Time Users
We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.
Purpose and positioning of servicesUbie Doctor’s Note is a service for informational purposes. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.