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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Should I Do About Muscle Pain In Both Sides Of My Rib Cage For Six Months?

MUSCLE PAIN IN BOTH RIB CAGE DURING ANY MOVEMENT LEFT RIGHT ,FRONT,BACK FROM 6 MONTHS X RAY AND ULTRASOUND SHOWS NOTHING DOCTORS SAID MUSCULAR PAIN TAKING SEVEAL PAINKILLER AND MULTIVITAMIN BUT NO ANY BENEFIT FROM 6 MONTHS ALSO TAKEN VOLINI GEL ETC.PLS SUGGEST .THANKS DOCTOR
posted on Tue, 1 Aug 2023
Twitter Tue, 12 Aug 2025 Answered on
Twitter Mon, 1 Sep 2025 Last reviewed on
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General & Family Physician,  's  Response
Hello,

Persistent pain like this needs a more thorough evaluation. Avoid prolonged slouching or twisting, maintain good posture while sitting, walking or sleeping. Apply warm compresses instead of constant topical gels, it will be helpful. Do gentle walking in the morning and evening to improve circulation. Get connected to a physical therapist to do stretching and posture correction.

Breathing exercises can help rib cage and intercostal muscles heal. Vitamin D or B12 deficiency can cause muscle pain. Include natural form of B12 in your daily diet and expose yourself to sunlight in the morning hours. You can take supplements.

Get clinically examined by a GP, get all required tests like CK, CRP, thyroid function tests, tests for vitamin D, B12, calcium, magnesium done to detect costochondritis, fibromyalgia, nerve related issues, etc. If needed you will be referred to a rheumatologist (for autoimmune / muscle inflammation causes) and a neurologist.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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What Should I Do About Muscle Pain In Both Sides Of My Rib Cage For Six Months?

Hello, Persistent pain like this needs a more thorough evaluation. Avoid prolonged slouching or twisting, maintain good posture while sitting, walking or sleeping. Apply warm compresses instead of constant topical gels, it will be helpful. Do gentle walking in the morning and evening to improve circulation. Get connected to a physical therapist to do stretching and posture correction. Breathing exercises can help rib cage and intercostal muscles heal. Vitamin D or B12 deficiency can cause muscle pain. Include natural form of B12 in your daily diet and expose yourself to sunlight in the morning hours. You can take supplements. Get clinically examined by a GP, get all required tests like CK, CRP, thyroid function tests, tests for vitamin D, B12, calcium, magnesium done to detect costochondritis, fibromyalgia, nerve related issues, etc. If needed you will be referred to a rheumatologist (for autoimmune / muscle inflammation causes) and a neurologist. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician