Rib pain on both sides may be caused by trauma to the ribs, or it may be caused by intercostal neuralgia or strain on the intercostal muscles. 1. Trauma: If the patient’s ribs are traumatized or indirectly injured, such as violent blows, fractures, etc., it may lead to the appearance of rib pain on both sides. 2. Intercostal neuralgia: Thoracic spine lesions, thoracic spine inflammation, thoracic spine trauma and other diseases can lead to intercostal neuralgia. Intercostal neuralgia will appear on both sides of the rib pain, the pain is stinging or burning pain. The pain is aggravated by coughing, deep breathing or sneezing. 3. Intercostal muscle strain: for example, sitting for a long time, sitting incorrectly, or often twisting the waist to sit, will cause bilateral intercostal muscle force imbalance, resulting in intercostal muscle strain, so that people mistakenly think that it is the ribs on both sides of the pain. If the patient has the above symptoms, it is best to go to the hospital in time, according to the cause of the appropriate treatment.