Chest pain is generally caused by chest disorders, where a variety of chemical or physical factors stimulate the chest wall tissues or sensory fibers of organs and tissues in the chest cavity, can lead to chest pain. The causes of chest pain are: (1) Chest wall diseases. These include contusions of the chest wall, rib fractures, costochondritis, dermatitis, myositis, myositis, and interosseous neuralgia. Distinctions can generally be made based on their respective histories and external manifestations. (2) Thoracic organ disorders. These include pleurisy, pneumothorax, lung infection, lung infarction, lung tumor, esophageal disorders, mediastinal tumor, angina pectoris, myocardial infarction, and so on. The pain characteristics and accompanying symptoms of these diseases are different, and the diagnosis can be made by combining the medical history and laboratory examination. (3) Spinal disorders. The spinal nerves and vegetative nerves emanating from the cervicothoracic spinal cord can send out branches to the cell wall, the cell membrane, the diaphragm, the heart and other parts of the body. When the cervico-thoracic spine due to trauma, labor injury, feel the wind and cold United States of America Finland increase reasons, resulting in joints, vertebrae between the mild dislocation, tension, inflammatory changes, can stimulate the spinal nerves or phytophysical nerves and chest pain. This kind of chest pain symptoms often aggravate with the aggravation of column lesions, and alleviate with the alleviation of spinal disorders. The causes of chest pain are complex and varied, and should be carefully identified in the clinic to avoid misdiagnosis and omission. Rib tip syndrome, mainly because of the 10th, 11th, 12th rib anterior end free, movement amplitude is larger, easy to be damaged by internal injury or trauma, caused by soft tissue around the end of the rib and the costal chondrocyte hyperplasia, edema and other changes, clinically, then appear the lowest 2~3 ribs rib tip and the rib margins of the lower pain, mostly hidden pain, stabbing pain or burning pain, there are also swelling, numbness and other sensations, bilateral ribs can be onset, and respiratory movement and position change related, palpation and pressure. It is related to respiratory movement and position change, and the pain is obvious when the tip of the rib is pressed. Generally conservative treatment can be used, with a large dose of ibuprofen 0.5 grams each time, 3 times a day, plus Yunnan Baiyao 2 grams, 3 times a day, the pain relieving effect is better; if necessary, can be used to 0.5% procaine 10 ml, plus prednisolone 1 ml, local closed treatment, but the drug should be injected in the tip of the ribs under the periosteum and the cartilage around the effect of the good. Generally do not need to do rib osteotomy.