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Published on: 7/15/2026

What might cause pain in the left rib cage?

Left rib cage pain is commonly caused by costochondritis (inflammation of the rib cartilage), intercostal neuralgia (irritation of the nerves between the ribs), or, in rare cases, a solitary plasmacytoma tumor. Other possible causes include muscle strain, rib injury, or referred pain from nearby organs.

Because these conditions range from minor to serious, identifying the underlying cause matters. A free, instant, online symptom check can help you narrow down likely causes based on your specific symptoms, guide you on urgency, and clarify your next steps—whether that's home care, seeing a primary care provider, or seeking urgent evaluation. It takes just a few minutes and could save you time, worry, and unnecessary guesswork.

Reviewed for medical accuracy: 07/14/2026

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Explanation

There are a few reasons why you might feel pain in the left side of your rib cage. One common cause is costochondritis, which is when the cartilage connecting your ribs to your breastbone becomes inflamed and sore. This condition can make the area tender, especially when you press on it or move in certain ways.

Another possibility is intercostal neuralgia. This is when the nerves that run between your ribs get irritated or pinched, leading to a sharp, burning, or persistent pain along the rib cage.

In rare cases, pain in the rib cage can be caused by tumors in the bone, such as a solitary plasmacytoma. This is an unusual growth that might sometimes be mistaken for other conditions like heart pain (angina). These causes affect the left rib area differently, so if you are having ongoing or severe pain, you can use this free AI symptom checker to help identify what might be causing your discomfort, and be sure to talk with a healthcare provider who can suggest the best treatment options.

(References)

  • Schumann JA, Sood T, Parente JJ. Costochondritis. [Updated 2024 Apr 20]. In: StatPearls [Internet].

  • Fazekas D, Doroshenko M, Horn DB. Intercostal Neuralgia. [Updated 2023 Aug 14]. In: StatPearls [Internet].

  • Yao J, He X, Wang CY, Hao L, Tan LL, Shen CJ, Hou MX. Solitary plasmacytoma of the left rib misdiagnosed as angina pectoris: A case report. World J Clin Cases. 2022 Jul 16;10(20):7037-7044. doi: 10.12998/wjcc.v10.i20.7037. PMID: 36051148; PMCID: PMC9297416.

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