There are many reasons for hidden pain under the ribs in the back, such as trauma, intercostal neuralgia, ureteral stone, shingles infection, etc. 1. Trauma: Hidden pain may occur when the ribs of the back are injured by blows or clubs, and may be accompanied by bruises or even cause fractures. 2. Intercostal neuralgia: intercostal neuralgia can show hidden pain in the back under the ribs, mainly cut-like pain, needle-like pain, burning pain. 3. Ureteral stones: early ureteral stones can also cause the phenomenon of hidden pain in the back under the ribs, and will be accompanied by urinary symptoms, such as urinary pain, urinary urgency, hematuria and so on. 4. Herpes zoster infection: herpes zoster infection can cause hidden pain in the back under the ribs in the early stage, especially in the chest, back and waist, below the ribs and other locations, with the development of the disease, the pain will be more and more serious. There are many reasons that lead to hidden pain in the back under the ribs, after the appearance of symptoms, we recommend that patients go to the hospital in time to improve the examination, after a clear diagnosis to give standardized treatment, do not ignore the symptoms, to take it lightly.