The common causes of upper chest pain are: chest muscle spasm, trauma, costochondritis and so on. 1. Chest muscle spasm: closely related to the patient’s various bad behavioral activities, resulting in the patient’s chest muscles overworked, which in turn triggers spasmodic pain in the upper chest. This kind of pain will be aggravated with the patient’s thoracic activities and deep breathing. 2. Trauma: For example, the chest is traumatized and impacted, resulting in local soft tissue injury, rib fracture, pneumothorax, etc., which causes pain in the upper chest, and also leads to limited chest activity, and even causes damage to nearby organs. 3. Costochondritis: young women are the most common group. The main symptom is pain in the rib cartilage of the front chest, and the pain will be aggravated when overworked. 4. Others: The gradual increase of mediastinal or thoracic cysts can also cause pain in the upper chest, accompanied by chest tightness and other symptoms. Surgery to remove the cysts can be chosen for treatment. All in all, the symptoms of upper chest pain, it is recommended to consult a doctor in time, if necessary, surgical treatment.