A misalignment of the rib can cause a deep or sharp pain at the place of the misalignment. This agony can be felt by the front of the rib cage by the sternum or at times in the back of the rib cage located by the spine. Deep breathing will be difficult and uncomfortable derived from the misaligned rib joint. Dr.Chuck will examine your spinal segments in the mid-back region. There are various techniques to gently shift the affected area back into place.