When the patient gets up or turns around, the left side of the ribs will be painful usually consider intercostal neuralgia, costochondritis or soft tissue injury. 1. Intercostal neuralgia: due to viral attack or thoracic vertebrae disease compression of the nerves, etc., stimulation of the intercostal nerves and cause pain. 2. Costochondritis: aseptic inflammation of the rib cartilage caused by long-term injury, infection, or immune dysregulation, which may cause pain in the left side of the rib cage when getting up or turning around. 3. Soft tissue injury: due to external forces directly acting on the left side of the chest or strenuous exercise, etc., can lead to damage to the periosteum of the rib cage or the surrounding soft tissues, resulting in pain symptoms. In short, if the left side of the rib pain, should promptly seek medical treatment through X-ray, CT and other tests to clarify the diagnosis, if necessary, under the guidance of the doctor to take pain medication with hot compresses and other physical therapy for medical treatment.