There are several common causes of pain in the ribs on both sides: 1. Patients can suffer a rib fracture after a traumatic injury, which can cause severe and continuous pain in the ribs bilaterally, and breathing can be affected. The presence of rib fractures can be confirmed by taking X-rays, and the pain can be relieved by timely fixation. 2. If the patient is elderly, it may be due to severe osteoporosis, and the patient will have bilateral rib pain symptoms, but the pain symptoms are usually not severe, but only persistent, and the bone density will be significantly reduced, and pathological fractures can occur by minor external forces, leading to increased pain symptoms. 3. Pneumonia, when serious, can involve the pleura causing severe pain symptoms in the chest wall, patients usually mistakenly think that the rib problem, shooting CT can confirm the bronchopneumonia.