Pain in the front and back of the chest may be caused by the following two reasons: 1. It is possible that the small joints of the thoracic vertebrae are misaligned, compressing the intercostal nerves, and the nerve pulling pain sensation occurs when the back is stretched to the front of the chest. In addition to the pain in the front and back of the chest, it may also be accompanied by significant pressure pain in the thoracic spine, and there is a dysfunction in the movement of the thoracic spine. The symptoms will be relieved soon after the massage specialist gives the technique to reset the thoracic spine.2. However, if there is no great relationship with the thoracic spine and the front chest pain is predominant, there is a possibility of acute heart disease, commonly known as angina pectoris or acute myocardial infarction. Usually, in addition to anterior and posterior chest pain, it is also accompanied by chest tightness. The nature of the pain is predominantly crushing and is accompanied by palpitations, dizziness, pallor, and weakness of the extremities.