Chest rib pain can be caused by trauma, but it can also be caused by shingles, pleurisy, costochondritis or other systemic diseases. 1. Trauma: Pain accompanied by coughing and aggravated by activity may be caused by chest muscle injury or rib fracture. 2. Herpes zoster: If there is a history of herpes zoster, it may also lead to intermittent pain in the chest ribs, mainly pinprick pain, and the pain lasts for a relatively short period of time. 3. Pleurisy: If pneumonia or chest trauma causes inflammation of the pleura, the pain of pleurisy will be accompanied by light and heavy changes in respiratory rhythm. 4. Costochondritis: pain near the center of the chest, and pain when local pressure, coughing, deep breathing will make the pain worse, but the pain is not very intense, considering costochondritis. 5. Other systemic diseases: cardiovascular diseases such as heart attack, coronary heart disease and skin infections, liver, gallbladder diseases may cause rib pain in the chest. If chest rib pain occurs, in order to prevent the lesion from worsening, you should go to a regular hospital to be examined by a professional doctor and assess the real situation, and then treat accordingly under the doctor’s guidance.