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Published on: 4/28/2025

What Could Cause Pain Around the Rib Cage and Back?

Pain around the rib cage and back may stem from conditions such as costochondritis, intercostal neuralgia, and other causes.

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Explanation

Pain in both the rib cage and back can have several causes. One common cause is costochondritis, which occurs when the cartilage connecting your ribs to your breastbone becomes inflamed. This inflammation causes tenderness and pain that typically starts in the front and may spread to the back. Another cause is intercostal neuralgia, a condition where the nerves between your ribs become irritated or injured. This results in sharp or burning pain along your rib cage and back. Several other conditions can cause rib cage and back pain. These include muscle strains from overuse, heavy lifting, or sudden movements. Pleurisy—inflammation of the lung lining—causes sharp chest pain during breathing. Additionally, herniated discs and other spine problems may cause pain that spreads to the rib area. It's important to see a doctor if pain persists or worsens. This allows for an accurate diagnosis and appropriate treatment plan.

(References)

  • Jung J, Lee M, Choi D. Twelfth rib syndrome: a case report. J Int Med Res. 2020 Sep;48(9):300060520952651. doi: 10.1177/0300060520952651. PMID: 32883133; PMCID: PMC7479855.

  • 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].

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