Mid back pain can strike at any time and can range from a mild irritation through to severe soreness.
Severe referred rib pain to the side and front of your chest can be caused by nerve and muscle inflammation at the facet joints of your middle-back, rhomboid muscles or ligaments between your shoulder blades or from nerves in your lower neck or mid-back. It can be aggravated by breathing in, forced inspiration, coughing, lifting, twisting or side-bending of the neck or spine and ribcage.
Chest pain can also be referred from the lower neck or an upper thoracic pinched nerve causing local pain as well as a deep” hot knife or deep burning ache,” This can also be referred intercostal nerve pain into the ribs at the back and to the sternum and costal rib cartilages at the front of the chest. This referred rib pain may also be felt in the arm and hand.