What could cause pain around the rib cage and back?

Reviewed by Yoshinori Abe, MD

Internal Medicine

Pain around the rib cage and back can result from several conditions, including costochondritis (inflammation of the cartilage connecting the ribs to the breastbone), intercostal neuralgia (nerve irritation between the ribs), muscle strain, thoracic spine issues, or referred pain from internal organs. Identifying the underlying cause is essential, as treatment varies significantly depending on whether the pain is musculoskeletal, neurological, or organ-related. Because rib and back pain can range from minor strains to more serious concerns, understanding your specific symptoms early can help you take the right next step. A free, instant, online symptom check can help you clarify possible causes based on your unique symptoms and guide you toward appropriate care—saving time, easing worry, and empowering you with information before your next doctor's visit.

Reviewed for medical accuracy: 07/15/2026

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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.

If you're experiencing persistent rib cage and back pain, take our free AI symptom checker to help identify potential causes and determine if you need to see a doctor 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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