There are many reasons that lead to pain in the middle of the rib cage in the chest, the common causes of pain in the middle of the rib cage in the chest, the reasons are as follows: 1, it may be due to fracture, if the fracture is caused by, in addition to the pain, usually accompanied by the symptoms of limited activity. It is necessary to go to the hospital as soon as possible to take pictures to check the fracture, to find out the condition, and then choose whether to carry out surgical treatment, or external fixation and other conservative treatments. 2, it may be due to heart disease, if it is due to heart disease, usually the pain will be more intense, pressure-like pain, and even the symptoms of chest pain. Must immediately go to the hospital to draw blood, do electrocardiogram and heart ultrasound and other tests. After identifying the cause of the disease, choose the appropriate method of treatment as soon as possible, such as surgical treatment or medication and other methods, otherwise it will adversely affect your health and may even be life-threatening.