It is very common to have rib pain in the middle of the chest when lifting the chest, which may be caused by overexertion, such as when the patient plays strenuous sports for a long time, which may cause the accumulation of lactic acid in the chest muscles and may lead to chest pain. Strain of the chest muscles caused by strenuous sports may also lead to chest pain, and spontaneous pneumothorax or rib fracture caused by strenuous sports or trauma may lead to rib pain. Pain in the ribs when lifting the chest may also be due to non-specific costal chondritis, which occurs in young women and causes pain during strenuous activity, deep breathing or coughing, usually in the area of the costal cartilage next to the sternum, and when the pain is severe there may be radiating pain in other areas. It is important to take rest and avoid straining, and anti-inflammatory painkillers can be used for symptomatic treatment to relieve the pain. If the symptoms do not improve, further examination is needed to clarify the diagnosis and provide targeted treatment.