Chest pain on both sides of the upper chest is generally common in the chest wall muscle strain, costochondritis, respiratory diseases, cardiovascular diseases, cervical spondylosis and other lesions. 1. Chest wall muscle strain: patients generally because of long-term head down, fatigue, posture and other factors caused by the upper chest on both sides of the muscle lactic acid increase, resulting in muscle spasm and contraction, chest pain on both sides of the upper chest, chest wall tissue structure is generally no organic changes. 2. Costal chondritis: costal chondritis occurs in the 2nd and 3rd rib cartilage, and the pain of some patients can involve the opposite side of the chest, causing pain on both sides of the chest. 3. Respiratory diseases: pulmonary embolism, lobar pneumonia, pleurisy, pneumothorax, lung tumors and other diseases can cause chest pain and discomfort, which can be manifested as pain on both sides of the chest. 4. Cardiovascular diseases: angina pectoris or myocardial infarction caused by coronary heart disease, pericarditis and other cardiovascular diseases can also cause pain on both sides of the chest. 5. Cervical spondylosis: Neurogenic cervical spondylosis can compress the cervical nerves to cause bilateral pain and numbness in the upper limbs and shoulders, which can also be manifested as pain on both sides of the chest. It is recommended to go to the hospital for further counseling and diagnosis and treatment.