The causes of bilateral rib pain are as follows: 1. it may be due to the sequelae of herpes zoster, or after a cold or viral infection, causing bilateral rib pain. 2. it may be chronic bilateral rib pain caused by chondromalacia next to the ribs. 3. it may be caused by chronic inflammation of the intercostal muscles of the ribs after strenuous activity in people who have been stretching their arms for a long time. 4, The symptoms of bilateral rib pain may also be due to damage to the intercostal muscles, intercostal nerves and ribs after strenuous activity, causing the symptoms of bilateral rib pain to appear. Therefore, the symptoms of pain in both ribs, the first bed rest, avoid strenuous activities, you can use some topical anti-inflammatory and analgesic creams to relieve symptoms. If the symptoms of pain in both ribs are not relieved in a timely and effective manner within a short period of time, you must go to a regular hospital in a timely manner and choose a reasonable treatment method after the cause is clear, so that the symptoms of pain in both ribs can be relieved in a timely and effective manner.