The reasons why the rib fracture is still painful after more than a year include bruise accumulation and the fracture has not healed yet, which can be relieved by general treatment, medication, surgery and so on. 1. Accumulation of blood: During the fracture, the local area may bleed, and after healing, it still does not dissipate, which will easily cause pain. In this case, massage and hot compresses can be used to promote blood circulation and relieve pain symptoms. If the condition is serious, you can also use aspirin, diclofenac and other drugs under the guidance of health care professionals to relieve pain and inflammation. 2. The fracture has not yet healed: generally speaking, one year after the rib fracture, the affected area can return to normal. However, if you don’t take good care of the fracture, it may not be healed for a long time. It is recommended that an X-ray or CT examination be conducted in time to determine the severity of the condition, and if necessary, the fracture should be refixed through surgery. There may be other reasons why the rib fracture is still painful even after more than a year, so you need to pay enough attention to it and go to the hospital for examination immediately in order to get rid of the pain as soon as possible.