If there is pain in the ribs in the middle of the two chests, there are several main causes: 1, it must be determined whether there is any trauma, trauma can lead to rib fractures and soft tissue damage around the ribs, it is necessary to conduct a thorough local examination to determine the exact extent of the injury, the pain caused by this injury is also very intense. 2, the presence of intercostal neuritis should be considered, the intercostal nerve passes through the middle of the ribs, if there is viral infection, it can cause neuritis, which leads to painful sensations in the ribs in the middle of the two chests.3. Patients who maintain the same posture for a long time and repeatedly rotate the chest for a long time may cause the soft tissues in the middle of the two ribs to be stretched repeatedly, causing local congestion and edema, forming a sterile inflammation and leading to local pain. Therefore, if patients have painful symptoms in the ribs in the middle of the two chests, they should be diagnosed in time to find out the causes and then treat them symptomatically.