There are several possible causes of painful pressure on the ribs in the back: first, tumors of the ribs, when there are tumors or metastases in the ribs, there can be pain in the ribs, and relevant CT and ECT examinations of the ribs should be performed for early diagnosis; second, tuberculosis of the ribs, when there is tuberculosis in the ribs, there can also be pressure pain in the ribs, accompanied by local redness and swelling. Third, infection, if the ribs are infected, pressure pain in the ribs can also occur, along with local redness of the skin and increased skin temperature, then blood tests and CT and ECT examinations of the ribs should be performed for diagnosis and treatment; fourth, other diseases secondary to rib lesions, such as multiple myeloma Fourth, lesions of the ribs secondary to other diseases, such as multiple myeloma, can cause pressure pain in the ribs, and ECT and blood tests should be performed for diagnosis and treatment.