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Published on: 4/28/2025

What Are the Common Causes of Pain in the Rib Cage?

Common causes of rib cage pain include muscle pain and inflammation, irritated nerves between the ribs, or medical conditions affecting organs near the rib cage.

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Explanation

Pain in the rib cage is most commonly caused by musculoskeletal issues. These musculoskeletal issues often develop due to injury, overuse, poor posture, or underlying medical conditions that affect the muscles, bones, and connective tissues in the chest wall. As an example, costochondritis is an inflammatory condition where the cartilage that connects the ribs to the breastbone (sternum) becomes inflamed, causing tenderness and pain in the chest wall that may worsen with movement or pressure. Sometimes, even something as simple as coughing frequently or doing intense physical activity can trigger pain in the rib cage area. Intercostal neuralgia is another common cause. This condition occurs when the nerves between your ribs become irritated or pinched, causing sharp, burning, or aching pain along the rib cage. Additionally, medical conditions affecting organs near the rib cage, blood clots to the lungs or gallbladder problems, can cause pain that seems to originate from the ribs. This type of referred pain often requires careful medical evaluation to determine its true source. For ongoing or severe pain, seek medical attention promptly. A doctor can properly diagnose the cause and recommend appropriate 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].

  • 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.

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