What causes pain in both sides of the rib cage?
Disease description:
I have been experiencing persistent pain in both sides of my ribcage recently, and sometimes the pain radiates to my back. The intensity of the pain varies, becoming more pronounced during times of emotional distress or physical fatigue. I am quite concerned and would like to understand what might be causing this.
Doctor's answer (1)
Dr. Chen Jian
Flank pain is a common symptom that can be caused by various different factors. The following are some common causes:
1. Rib fracture: If there is a recent history of trauma, such as falling or impact injury, the pain might be due to a rib fracture.
2. Intercostal neuralgia: This typically presents as pain along the distribution of the ribs and may be caused by viral infections, thoracic spine disorders, or other conditions.
3. Pleurisy: Inflammation of the pleura can cause chest pain that may radiate to the ribs and may be accompanied by symptoms such as shortness of breath.
4. Muscle strain or sprain: Excessive exertion or improper posture may lead to intercostal muscle strain or sprain, causing pain.
5. Costochondritis: This condition may cause flank pain, particularly when there is localized tenderness; it may be related to overuse, cold exposure, viral infections, and other factors.
6. Cardiovascular issues: Although the heart is located behind the sternum, cardiac conditions such as angina or myocardial infarction can sometimes present as chest pain, including pain in the flank areas.
7. Digestive system disorders: Gastroesophageal reflux disease (GERD), gallbladder inflammation, pancreatitis, and other digestive system disorders can sometimes cause chest or flank pain.
8. Neuropathic pain: Neurological conditions such as shingles can cause severe intercostal neuralgia.
If the pain persists, it is recommended to seek medical attention at a hospital immediately.
