Chest rib pain can be caused by a number of things, such as intercostal neuritis, rib lesions, muscle strains, and costochondritis. The exact cause can only be determined after examination, the specific causes are described below: 1. Intercostal neuritis is a common factor leading to rib pain in the chest, the main clinical symptom of intercostal neuritis attack is localized burning pain or pins and needles, which will be aggravated when coughing or sneezing. 2. Costochondritis is a common cause of rib pain in the chest, which can be divided into two types: infectious and non-specific. Non-specific costochondritis is the most common in clinic, the specific cause is not known, generally believed to be related to viral infection, abnormal immune function or endocrine abnormality, costochondral injury, rheumatoid arthritis and other factors. 3. Rib lesions, such as rib fractures and rib tumors, can cause chest and rib pain. 4. Chest muscle or ligament strains can also cause chest and rib pain. Therefore, it is better to go to the hospital for examination and standardized treatment according to the cause. During the treatment period, we must pay attention to rest, do not exercise strenuously, and keep a good mood.