Chest pain during twisting activities is commonly caused by fasciitis, which is aggravated by wind and cold such as cold and relieved by activity. Muscle strains caused by lack of warm-up activities before physical exercise, strenuous exercise, etc., which are relieved after rest. It is also caused by improper sleeping position and other rheumatic immune diseases. Fasciitis is treated by giving non-steroidal anti-inflammatory drugs such as diclofenac sodium orally, or by local closure, surgery, etc. If the pain is accompanied by cough and fever, it may be caused by pneumonia and a severe cough. If there is previous trauma or collision, we should pay attention to exclude whether the pain is caused by rib fracture due to trauma. Therefore, it is necessary to combine clinical symptoms and physical characteristics with chest X-ray or chest CT examination to find the cause of chest pain.