Rib pain and back pain can be caused by overwork, trauma, pleurisy, intercostal neuralgia and other reasons. 1. Overwork: If you work for a long time or keep a posture for too long, it is easy to lead to local muscle ligament tension and strain, which will lead to rib pain and back pain. 2. Trauma: if the ribs or back spine is violently impacted or extruded, resulting in a slight fracture of the ribs or spine or soft tissue contusion, it is easy to have rib pain and back pain. 3. Pleurisy: If the pleura is infected, causing inflammation, it will stimulate the local pain sensory nerves, which will lead to rib pain and back pain. 4. Intercostal neuralgia: due to thoracic spine degeneration, thoracic spine injury, tumor, etc., the intercostal nerves are stimulated, inflammation or compression occurs, which then radiates to the back, and rib pain and back pain occurs. If the above symptoms occur frequently, it is recommended to go to the hospital for examination in time.