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Pain in center of rib cage. Rib Cage Pain: Causes, Identification, and Treatment

What causes pain in the center of the rib cage? How can costochondritis be identified and treated? Get the facts about rib cage pain symptoms and management.

Understanding Rib Cage Pain

Rib cage pain can be a concerning and uncomfortable experience, but it is often treatable. This type of pain can arise from a variety of causes, ranging from minor injuries to underlying medical conditions. Understanding the potential sources of rib cage discomfort and the appropriate steps for identification and treatment is crucial for managing this health issue effectively.

Causes of Rib Cage Pain

The most common causes of rib cage pain include:

  • Muscle Strain or Bruising: Activities that strain the muscles or lead to impact in the rib cage area, such as sports injuries or falls, can result in pulled muscles or bruised ribs.
  • Rib Fractures: Broken ribs, typically caused by trauma or severe impact, can lead to significant pain in the rib cage.
  • Costochondritis: This condition involves inflammation of the cartilage that connects the ribs to the breastbone, leading to rib cage pain.
  • Underlying Medical Conditions: Certain conditions, such as osteoporosis, lung diseases, and even cancer, can cause pain in the rib cage area.

Identifying the Cause of Rib Cage Pain

When experiencing rib cage pain, it is important to seek medical attention. Your healthcare provider will likely begin by asking about your symptoms, including the type of pain, its location, and any events or activities that may have triggered it. They may also perform a physical examination, checking for tenderness, swelling, or other signs of injury or inflammation.

Depending on the suspected cause, your doctor may order diagnostic tests, such as X-rays, CT scans, or MRI scans, to obtain a clearer picture of the underlying issue. These imaging studies can help identify fractures, abnormal growths, or other structural problems that may be contributing to your rib cage discomfort.

Treating Rib Cage Pain

The treatment for rib cage pain will depend on the underlying cause. For minor injuries, such as muscle strains or bruised ribs, over-the-counter pain medications, cold compresses, and gentle stretching or exercise may be sufficient. In the case of rib fractures, your doctor may recommend immobilizing the area with a compression wrap or brace to allow for proper healing.

For conditions like costochondritis, anti-inflammatory medications, physical therapy, and rest may be the primary treatment approach. In more severe or persistent cases, your doctor may consider corticosteroid injections or other interventions to reduce inflammation and alleviate pain.

Preventing Rib Cage Pain

While some causes of rib cage pain, such as underlying medical conditions, may not be entirely preventable, there are steps you can take to reduce your risk of developing this type of discomfort:

  • Engage in Regular Exercise: Strengthening the muscles in your core and chest can help support the rib cage and reduce the risk of injury.
  • Practice Good Posture: Maintaining proper posture can help distribute weight and pressure more evenly across the rib cage, decreasing the strain on individual ribs.
  • Use Proper Lifting Techniques: When lifting heavy objects, be sure to use your legs and avoid putting excessive strain on your upper body and rib cage.
  • Seek Prompt Treatment for Injuries: If you experience an injury to the rib cage, such as a fall or impact, seek medical attention right away to prevent the development of chronic pain or complications.

When to Seek Medical Care

If you are experiencing persistent or severe rib cage pain, it is important to seek medical attention. Some signs that you should see a healthcare provider include:

  • Sudden, intense pain in the rib cage area
  • Pain that is worsening or not improving with self-care measures
  • Pain that is accompanied by difficulty breathing, chest pain, or other concerning symptoms
  • Pain that is disrupting your daily activities or quality of life

Your healthcare provider can help determine the underlying cause of your rib cage pain and develop an appropriate treatment plan to help you find relief and prevent further complications.

Conclusion

Rib cage pain can be a concerning and debilitating condition, but it is often treatable. By understanding the potential causes, seeking prompt medical attention, and following the recommended treatment plan, you can effectively manage rib cage discomfort and improve your overall health and well-being.

Rib Cage Pain: Causes, Identification, and Treatment

Rib Cage Pain: Causes, Identification, and Treatment

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Medically reviewed by William Morrison, M. D. — By April Kahn — Updated on February 6, 2023

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Healthline only shows you brands and products that we stand behind.

Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

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  • Fact-check all health claims: Do they align with the current body of scientific evidence?
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We do the research so you can find trusted products for your health and wellness.

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Was this helpful?

Pain in the rib cage can result from injury or an underlying medical condition. Treatment may depend on the cause of the pain.

Rib cage pain may be sharp, dull, or achy and felt at or below the chest or above the navel on either side. It may occur after an obvious injury or without explanation.

Rib cage pain can be caused by a variety of things, ranging from pulled muscles to a rib fracture.

The pain may occur immediately upon injury or develop slowly over time. It can also be a sign of an underlying medical condition. You should report any instance of unexplainable rib cage pain to your doctor immediately.

The most common causes of rib cage pain are a pulled muscle or bruised ribs. Other causes of pain in the rib cage area may include:

  • broken ribs
  • injuries to the chest
  • rib fractures
  • diseases that affect the bones, such as osteoporosis
  • inflammation of the lining of the lungs
  • muscle spasms
  • swollen rib cartilage

When talking to your doctor, describe the type of pain you’re experiencing and the movements that make the pain worse. The type of pain you’re experiencing as well as the area of pain can help your doctor determine which tests will help them make a diagnosis.

If your pain started after an injury, your doctor might order an imaging scan such as an X-ray. A chest X-ray can show evidence of fractures or bone abnormalities. Rib-detail X-rays are also helpful.

If any abnormalities, such as an abnormal growth, show up on your X-ray or during your physical examination, your doctor will order a soft tissue imaging scan, such as an MRI. An MRI scan gives the doctor a detailed view of your rib cage and surrounding muscles, organs, and tissue.

If you’re experiencing chronic pain, your doctor may order a bone scan. Your doctor will order a bone scan if they feel that bone cancer may be causing the pain. For this examination, they will inject you with a small amount of radioactive dye called a tracer.

Your doctor will then use a special camera to scan your body for the tracer. The image from this camera will highlight any bone abnormalities.

The recommended treatment for rib cage pain depends on the cause of the pain.

If the rib cage pain is due to a minor injury, such as a pulled muscle or bruise, you can use a cold compress on the area to reduce swelling. If you’re in significant pain, you can also take over-the-counter pain relievers such as acetaminophen (Tylenol).

If over-the-counter medicine doesn’t relieve pain from an injury, your doctor can prescribe other medications, as well as a compression wrap. A compression wrap is a large, elastic bandage that wraps around your chest.

The compression wrap holds the area tightly to prevent further injury and greater pain. However, these wraps are only necessary in rare cases because the tightness of the compression wrap makes it difficult to breathe. This can increase your risk of pneumonia.

If bone cancer is causing the pain, your doctor will discuss treatment options with you based on the type of cancer and origin of the cancer. Determining the origin of the cancer will you’re your doctor whether it started in the rib or spread from another area of the body. Your doctor may suggest surgery to remove or biopsy abnormal growths.

In some cases, surgical removal isn’t possible or may be too dangerous. In these cases, your doctor may choose to shrink them using chemotherapy or radiation therapy. Once the growth is small enough, they may then remove it surgically.

Rib cage pain may be apparent with no movement. You may also experience sharp pain when breathing in or when moving into a certain position.

Contact your doctor immediately if you experience severe pain when breathing in or moving your body into a specific position, or if you have any difficulty breathing.

If you feel pressure or have pain in your chest along with rib cage discomfort, call 911. These symptoms may be the sign of an impending heart attack.

If you’ve recently fallen and you have difficulty and pain while breathing, along with significant bruising in your chest area, call 911 immediately as well.

If you need help finding a primary care doctor or a specialist, you can browse doctors in your area through the Healthline FindCare tool.

You can prevent rib cage pain due to muscle strains or sprains by stretching your muscles, using exercise equipment properly, and staying hydrated.

If an illness is causing your rib cage pain, get plenty of rest and follow your doctor’s treatment plan. Self-care treatments, such as applying ice to injuries or taking hot baths to relax, can also help prevent pain.

Last medically reviewed on April 29, 2019

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

  • Tests for bone cancer. (2018).
    cancer.org/cancer/bonecancer/detailedguide/bone-cancer-diagnosis
  • Mayo Clinic Staff. (2018). Broken ribs.
    mayoclinic.org/diseases-conditions/broken-ribs/home/ovc-20169623
  • Muscle contusion (bruise). (2014).
    orthoinfo.aaos.org/topic.cfm?topic=a00341
  • Sprains, strains, and other soft tissue issues. (2015).
    orthoinfo.aaos.org/topic.cfm?topic=A00111

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Current Version

Feb 6, 2023

Written By

April Kahn

Edited By

Frank Crooks

Apr 29, 2019

Medically Reviewed By

William Morrison, MD

Share this article

Medically reviewed by William Morrison, M.D. — By April Kahn — Updated on February 6, 2023

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Rib Cage Pain: Causes, Identification, and Treatment

Rib Cage Pain: Causes, Identification, and Treatment

  • Health Conditions
    • Featured
      • Breast Cancer
      • IBD
      • Migraine
      • Multiple Sclerosis (MS)
      • Rheumatoid Arthritis
      • Type 2 Diabetes
    • Articles
      • Acid Reflux
      • ADHD
      • Allergies
      • Alzheimer’s & Dementia
      • Bipolar Disorder
      • Cancer
      • Crohn’s Disease
      • Chronic Pain
      • Cold & Flu
      • COPD
      • Depression
      • Fibromyalgia
      • Heart Disease
      • High Cholesterol
      • HIV
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      • STDs
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    • Wellness Topics
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    • Product Reviews
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      • OB-GYN
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      • Neurologists
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      • Am I Depressed? A Quiz for Teens
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      • Migraine
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Medically reviewed by William Morrison, M. D. — By April Kahn — Updated on February 6, 2023

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission Here’s our process.

Healthline only shows you brands and products that we stand behind.

Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

  • Evaluate ingredients and composition: Do they have the potential to cause harm?
  • Fact-check all health claims: Do they align with the current body of scientific evidence?
  • Assess the brand: Does it operate with integrity and adhere to industry best practices?

We do the research so you can find trusted products for your health and wellness.

Read more about our vetting process.

Was this helpful?

Pain in the rib cage can result from injury or an underlying medical condition. Treatment may depend on the cause of the pain.

Rib cage pain may be sharp, dull, or achy and felt at or below the chest or above the navel on either side. It may occur after an obvious injury or without explanation.

Rib cage pain can be caused by a variety of things, ranging from pulled muscles to a rib fracture.

The pain may occur immediately upon injury or develop slowly over time. It can also be a sign of an underlying medical condition. You should report any instance of unexplainable rib cage pain to your doctor immediately.

The most common causes of rib cage pain are a pulled muscle or bruised ribs. Other causes of pain in the rib cage area may include:

  • broken ribs
  • injuries to the chest
  • rib fractures
  • diseases that affect the bones, such as osteoporosis
  • inflammation of the lining of the lungs
  • muscle spasms
  • swollen rib cartilage

When talking to your doctor, describe the type of pain you’re experiencing and the movements that make the pain worse. The type of pain you’re experiencing as well as the area of pain can help your doctor determine which tests will help them make a diagnosis.

If your pain started after an injury, your doctor might order an imaging scan such as an X-ray. A chest X-ray can show evidence of fractures or bone abnormalities. Rib-detail X-rays are also helpful.

If any abnormalities, such as an abnormal growth, show up on your X-ray or during your physical examination, your doctor will order a soft tissue imaging scan, such as an MRI. An MRI scan gives the doctor a detailed view of your rib cage and surrounding muscles, organs, and tissue.

If you’re experiencing chronic pain, your doctor may order a bone scan. Your doctor will order a bone scan if they feel that bone cancer may be causing the pain. For this examination, they will inject you with a small amount of radioactive dye called a tracer.

Your doctor will then use a special camera to scan your body for the tracer. The image from this camera will highlight any bone abnormalities.

The recommended treatment for rib cage pain depends on the cause of the pain.

If the rib cage pain is due to a minor injury, such as a pulled muscle or bruise, you can use a cold compress on the area to reduce swelling. If you’re in significant pain, you can also take over-the-counter pain relievers such as acetaminophen (Tylenol).

If over-the-counter medicine doesn’t relieve pain from an injury, your doctor can prescribe other medications, as well as a compression wrap. A compression wrap is a large, elastic bandage that wraps around your chest.

The compression wrap holds the area tightly to prevent further injury and greater pain. However, these wraps are only necessary in rare cases because the tightness of the compression wrap makes it difficult to breathe. This can increase your risk of pneumonia.

If bone cancer is causing the pain, your doctor will discuss treatment options with you based on the type of cancer and origin of the cancer. Determining the origin of the cancer will you’re your doctor whether it started in the rib or spread from another area of the body. Your doctor may suggest surgery to remove or biopsy abnormal growths.

In some cases, surgical removal isn’t possible or may be too dangerous. In these cases, your doctor may choose to shrink them using chemotherapy or radiation therapy. Once the growth is small enough, they may then remove it surgically.

Rib cage pain may be apparent with no movement. You may also experience sharp pain when breathing in or when moving into a certain position.

Contact your doctor immediately if you experience severe pain when breathing in or moving your body into a specific position, or if you have any difficulty breathing.

If you feel pressure or have pain in your chest along with rib cage discomfort, call 911. These symptoms may be the sign of an impending heart attack.

If you’ve recently fallen and you have difficulty and pain while breathing, along with significant bruising in your chest area, call 911 immediately as well.

If you need help finding a primary care doctor or a specialist, you can browse doctors in your area through the Healthline FindCare tool.

You can prevent rib cage pain due to muscle strains or sprains by stretching your muscles, using exercise equipment properly, and staying hydrated.

If an illness is causing your rib cage pain, get plenty of rest and follow your doctor’s treatment plan. Self-care treatments, such as applying ice to injuries or taking hot baths to relax, can also help prevent pain.

Last medically reviewed on April 29, 2019

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

  • Tests for bone cancer. (2018).
    cancer.org/cancer/bonecancer/detailedguide/bone-cancer-diagnosis
  • Mayo Clinic Staff. (2018). Broken ribs.
    mayoclinic.org/diseases-conditions/broken-ribs/home/ovc-20169623
  • Muscle contusion (bruise). (2014).
    orthoinfo.aaos.org/topic.cfm?topic=a00341
  • Sprains, strains, and other soft tissue issues. (2015).
    orthoinfo.aaos.org/topic.cfm?topic=A00111

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Current Version

Feb 6, 2023

Written By

April Kahn

Edited By

Frank Crooks

Apr 29, 2019

Medically Reviewed By

William Morrison, MD

Share this article

Medically reviewed by William Morrison, M.D. — By April Kahn — Updated on February 6, 2023

Read this next

  • What Is Costochondritis?

    Medically reviewed by Stacy Sampson, D.O.

    Costochondritis is an inflammation of the cartilage in the rib cage. Learn about costochondritis symptoms, causes, diagnosis, and treatment.

    READ MORE

  • What’s Causing Pain Under My Ribs in the Upper Left Abdomen?

    There are many reasons you may be experiencing pain in your upper left abdomen under your ribs. Some are minor, but others could be life threatening…

    READ MORE

  • Slipping Rib Syndrome

    Medically reviewed by Suzanne Falck, MD

    Slipping rib syndrome occurs when the cartilage on the lower ribs slips and moves, leading to pain in the chest or upper abdomen.

    READ MORE

  • Intercostal Neuralgia

    Medically reviewed by William Morrison, M.D.

    Intercostal neuralgia is a painful condition involving the area just under your ribs. It can cause pain in the chest, ribs, and upper back that may be…

    READ MORE

  • The Causes of an Uneven Rib Cage

    Medically reviewed by J. Keith Fisher, M.D

    Learn all about uneven rib cages. An uneven rib cage can cause problems with your breathing and posture. We’ll give you full details about the causes…

    READ MORE

  • Treating Pain with Heat and Cold

    Medically reviewed by Judith Marcin, M.D.

    Treating pain with hot and cold can be extremely effective for a number of different conditions and injuries. The tricky part is knowing which…

    READ MORE

  • Study Finds One Antidepressant Out of 25 Can Help Treat Chronic Pain

    New research by the Cochrane Database of Systematic Reviews has found that one antidepressant, duloxetine, has the potential to be used to help treat…

    READ MORE

  • The Most Common Reasons Women Have Left-Sided Groin Pain

    Medically reviewed by Meredith Wallis, MS, APRN, CNM, IBCLC

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    READ MORE

  • 12 Reasons You Might Be Experiencing Pain in the Right Side of Your Groin

    Medically reviewed by Elaine K. Luo, M.D.

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What causes chest pain

Pain is the body’s signal of a problem. People often complain about chest pain, but they cannot really describe the nature of pain, duration, frequency, localization, possible cause. There are many organs in the chest, the disease of which can manifest itself…

Pain is the body’s signal about a problem. People often complain about chest pain, but they can’t really describe the nature of the pain, duration, frequency, localization, and a possible cause.

There are many organs in the chest, the disease of which can be manifested by pain syndrome, incl. and the chest itself. Let’s take it in order.

Heart and great vessels – their pathology is in the first place in terms of mortality. This is an acute myocardial infarction, dissecting aortic aneurysm; angina pectoris and rest, myocarditis, endocarditis, pericarditis. With these diseases, there may be sudden death / in the first two cases / with severe acute pain in the chest. The pain can be paroxysmal, short-term / during physical exertion or neuropsychic stress / and, most often, is relieved by taking nitroglycerin or sedatives. If the pain is prolonged, aching, it is either inflammation of the membranes of the heart, or neuro-circulatory dystonia, or dyshormonal cardialgia. It is also necessary to take into account the presence or absence of cardiac arrhythmias, fever, changes in the analyzes.

Mediastinum – it may contain enlarged lymph nodes that put pressure on the surrounding organs and disrupt their function.

Digestive system – primarily diseases of the esophagus / GERD, diverticula, oncological diseases /, diaphragmatic hernia of the esophageal opening of the diaphragm, gastric or duodenal ulcer, acute pancreatitis, cholelithiasis – these diseases can transmit pain impulses from the abdominal cavity to chest. In this case, the pain can be both acute, paroxysmal, and aching, prolonged. As a rule, these pains are associated with nutrition / increase or decrease /.

Respiratory system – acute chest pain occurs with pneumothorax, pulmonary embolism, chest trauma, dry pleurisy. Pain of varying degrees can be with pneumonia, bronchitis, bronchial asthma, exudative pleurisy, tuberculosis, oncological diseases of the lungs and pleura.

Nervous system – leaving the spine, the nerves pass through the intercostal spaces. Therefore, diseases of the spine / osteochondrosis, scoliosis, arthrosis, tuberculosis / can lead to dysfunction of the nerves, their swelling and pain. The appearance of neoplasms / for example, neuromas / can also be manifested by pain.

Other diseases – myeloma, characterized by changes in the bones and blood count, can also manifest as pain in the flat bones.

Shingles / herpes zoster / before the appearance of characteristic rashes gives pain in various areas, incl. chest. Retrosternal goiter is a possible cause of chest pain.

As you can see from this brief description, not everything is so simple and obvious with chest pain syndrome. Therefore, it is better to contact our clinic, where good specialists and modern equipment will help to make the correct diagnosis and prescribe the appropriate treatment.

The article was prepared by the physician-therapist ACMD-MEDOKS Plotnikova N.I.

What diseases cause chest pain? – reference book Omega-Kyiv

Chest pain is not a symptom of a specific disease, but may indicate damage to various organs and systems of the human body.

As a rule, it becomes possible to determine the true cause of chest pain only after a comprehensive diagnosis of the body.

  • Pathologies of the heart;
  • Osteochondrosis;
  • Diseases of the esophagus;
  • Pathology of the bronchopulmonary system.

Chest pain in diseases of the cardiovascular system is the most striking symptom, and occurs in many pathologies. Depending on the location and strength of the attack, you can determine the cause. Severe and pressing pain in the chest may indicate cardiac ischemia or angina pectoris. As a rule, pressing pain is so severe that breathing is lost and shortness of breath occurs. Choking pain occurs due to increased stress on the heart muscle and lack of oxygen. To determine the disease, it is necessary to conduct an ECG.

Chest pain, also accompanied by myocardial infarction. The peculiarity of the pathology is in the partial necrosis of the tissues of the heart muscle. As a rule, pain during a heart attack is sharp, cutting. Quite often, retrosternal pain during a heart attack can radiate to the left arm. The pain is not relieved by taking nitroglycerin and requires immediate hospitalization. As a rule, in case of a heart attack, before the doctors arrive, it is necessary to take the most comfortable position (lying on a bed with a raised torso and bent knees). This position of the body reduces pain and does not overload the heart.

With osteochondrosis of the thoracic region, the pain is localized in the chest, and often resembles the symptoms of angina pectoris. Pressing discomfort and severe pain occur due to pinching of nerve endings by intervertebral discs. The pressure is due to the loss of shock-absorbing properties of the disks.

Pathologies of the digestive system can also be accompanied by severe chest pain. In diseases of the stomach and diffuse spasm of the esophagus, spontaneously occurring pain in the chest is observed. As a rule, the pain can be aggravated by eating and swallowing saliva. Localized pain in the chest or interscapular space, but can be felt in the neck, ears and jaw.

Diseases of the respiratory system are often accompanied by pain in the chest. The main pathologies of the lungs with this symptomatology are thromboembolism, lung collapse and pulmonary hypertension. A feature of thromboembolism is blood clots that enter the pulmonary arteries and block normal blood flow.