If the patient has a bone pain in the middle of the chest, this is a pain in the sternum, which may be caused by sternal inflammation or sternal trauma, sternal fracture, or chondritis, among other conditions. This kind of bone pain will often have localized pressure pain, there may also be local redness, swelling, heat and other inflammatory manifestations. In addition, it is important to note that localized skin herpes, such as shingles, may also cause pain in the skin and bones in the middle of the sternum. In the case of bone pain, you can consider improving the X-ray of the sternum to clarify whether there is a fracture of the bone or other diseases. We should also be careful to avoid identifying it with precordial pain, as some patients with coronary artery disease may have a similar presentation.