Published on: 5/6/2025
Severe rib pain might be caused by a broken rib, inflamed joint areas (costochondritis), or irritated nerves (intercostal neuralgia).
There are several reasons why you might experience severe pain in your ribs. One possibility is a rib fracture. This is when one or more rib bones break, usually from a strong impact or injury, and it can cause a very sharp pain that worsens with breathing or movement. Another common cause of severe rib pain is costochondritis. This happens when the cartilage that connects the ribs to the breastbone (sternum) becomes inflamed. The area can feel very tender, and even a light touch might hurt. A third possible cause is intercostal neuralgia. This condition occurs when the nerves running between the ribs are irritated or compressed, leading to a burning, stabbing, or aching pain along the rib cage. Each of these causes produces pain in different ways, so a doctor might ask about how the pain started, if there was an injury, or if it gets worse with certain movements. If you have severe rib pain, it is important to see a healthcare provider so they can determine which problem is causing the pain and suggest the right treatment to help you feel better.
(References)
Kuo K, Kim AM. Rib Fracture. [Updated 2023 Aug 8]. In: StatPearls [Internet].
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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