Intermittent stabbing pain in the middle of the chest is a condition that may be associated with costochondritis. Most patients who suffer from costochondritis are suffering from non-specific costochondritis. Patients are usually prone to chest tingling, can have radiating pain in the back of the shoulder, and may also have pain in the upper extremities. The first thing to do in this case is to take rest, avoid straining, and avoid strenuous exercise. Secondly, you can take oral anti-inflammatory and pain-relieving drugs, such as Nimesulide or diclofenac sodium, to relieve the pain symptoms. You can also take oral Chinese medicine with the effect of blood circulation and blood stasis, or apply heat to the painful area to promote local blood circulation and relieve the symptoms of pain. If the symptoms do not improve after a period of time, further examination at the hospital is needed to clarify the diagnosis and provide targeted treatment.