10 Common Causes of Rib and Back Pain

Rib and Back Pain - Pain Management & Injury Relief

Discover the Top Causes of Rib & Back Pain Today!

Experiencing pain around your ribs or back? Finding it challenging to decipher the root cause? Rib and back pain gives you no joy, but understanding its origins can be a stepping-stone in securing the proper treatment. In our fast-paced lives, such discomfort can act as a major roadblock forcing even the simplest tasks into fierce challenges. Whether it’s due to an injury or some latent medical condition, rib and back pain impacts us physically as well as disrupts our mental wellness.

In this comprehensive guide, let’s delve deeper into identifying what might be causing your rib and back pain. Donning on my Sherlock hat, focusing primarily on top causes prevalent today along with suggesting remedial measures for them would be our mission here.

Most Common Possible Causes


The human body is an intricate machinery where everything is interlinked. An injury anywhere near the chest area or spinal region can lead to rib and back pain quite easily. This could range from fractures owing to accidents to minor muscle strains resulting from sudden movements or heavy lifting.

The plot doesn’t end here though! Even using incorrect posture while standing, sitting, or sleeping can trigger severe discomfort over time. Could improper posturing at home or at work desk unknowingly be driving your current agony?

Intercostal Muscle Strain

The network of muscles aligning your ribs are called intercostal muscles which play a significant role in helping you breathe. Overuse of these muscles during rigorous activities like sports or physical exercise may strain them leading to acute pain in the chest and upper back areas.

An unsuitable lifting technique causing muscle stress or chronic cough too can induce an intercostal muscle strain over time prompting those persisting pangs.

Did those last ten pushups pull more than just that victory grin on your face?

Understanding the potential back and rib pain causes can go a long way in administering effective treatment. With that said, let’s delve deeper into one such cause: intercostal muscle strain.

Intercostal muscles reside between your ribs, aiding the chest cavity expansion during breathing. Consequently, when these muscles endure strain or injury, you might experience discomfort or even acute pain.

Strain to these delicate muscles typically arises from activities imposing excessive pressure on the ribcage—a common occurrence among athletes and individuals who engage in heavy lifting frequently. Nonetheless, this doesn’t imply that only physically active individuals are susceptible. Simple actions like prolonged coughing or sneezing frenzies during a cold can lead to an intercostal muscle strain.

Now you may wonder how to recognize if it’s indeed an intercostal muscle strain causing your back and rib pain. The primary symptom is sharp, intense pain emanating usually from a single spot in the ribcage area—which escalates during deep breaths or any torso-twisting movement. Some people also report feeling a sensation similar to a pop’ at the moment of injury onset.

In conclusion, while there are numerous back and rib pain causes, intercostal muscle strain is among those often overlooked. Recognizing and understanding its symptoms will allow for timely diagnosis and appropriate management.


Costochondritis, often misunderstood or unknown by many, is one clear source of rib and back pain. It’s a medical condition characterized by inflammation of the cartilage that connects a rib to the breastbone (sternum). It can be a surprising culprit for someone who thinks they’re experiencing chest pains relating to cardiac issues.

Firstly, this isn’t your run-of-the-mill ache and discomfort. The pain from costochondritis can range from mild to severe, so much so you might mistake it for a heart attack! Some people describe this sensation as pressure or burning in the chest region. This can certainly cause quite an unsettling scare.

But how does costochondritis strike? While there’s no definitive answer just yet, some common causes include:

  • Strain from heavy lifting
  • Robust exercise leads to stress on your ribs
  • Physical trauma after an accident

The most troubling aspect of costochondritis might be that the exact cause remains unclear in many cases. What starts as garden-variety chest discomfort manifests into something significantly more unnerving – leaving you reeling with questions and anxiety.

Facing symptoms like these requires immediate professional medical attention because of obvious concerns over cardiac health. But if a doctor rules out those life-threatening conditions and diagnoses you with costochondritis instead, rest assured knowing the added stress associated with worries of heart attacks need not weigh you down anymore.

Dealing with costochondritis? Fear not. Start with simple treatments such as heating pads applied to the sore area or over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) recommended by healthcare professionals… relief could be closer than you think! Please remember medical advice should ALWAYS precede self-treatment attempts.

So next time when shooting pains radiate from your sternum, don’t let fear cloud your judgment. Remember costochondritis: potentially less serious but still deserving careful consideration and attention.


Fibromyalgia is a widespread pain disorder that can cause discomfort in various parts of the body, including the rib and back area. This rather perplexing health condition characterizes unexplained muscle and joint pain, chronic fatigue, and tender spots on certain parts of the body.

Understanding Fibromyalgia

It’s diagnosed when a person has experienced generalized pain for at least three months in various locations throughout the body, including both sides of the lower back or waist (where your ribs are located).

Let’s delve deeper into how this condition affects rib and back areas:

  1. Tender Points: These are specific places on your neck, shoulders, back, hips, arms, or legs that hurt when pressure is put on them – such vivid points often exist around the rib cage.
  2. Diffuse Pain: In fibromyalgia patients, it’s not unusual to experience an overall sense of discomfort across wider areas like their entire back inclusive of ribs.

Despite these challenges presented by fibromyalgia, the good news is – there isn’t any damaging effect on physical structures like joints or muscles. However, its distinctive symptoms make everyday activities daunting for many individuals with this health issue.

One possible explanation for fibromyalgia symptoms proposes an abnormality in how the nervous system processes pain signals sent from peripheral nerves (those outside your brain or spinal cord). Essentially translates into experiencing acceleratedly higher intensity of ‘usual’ pain a healthy individual would feel under identical conditions.

Researchers haven’t pinpointed any definitive causes for it yet but there’s consensus about several potential triggering factors: genetic disposition (people with family history seem predisposed), infections (can precipitate onset sometimes), psychological stress, and trauma (either physical or emotional).

Fibromyalgia doesn’t have a universally effective treatment since its precise causes remain unknown but common approaches include medication to manage symptoms such as analgesics; lifestyle modifications concentrating on improvement of physical fitness & healthy sleep patterns; as well as psychological support that teaches self-management techniques.

Remember, it’s vital to have open discussions with your doctor if you’re experiencing prolonged, unexplained pain in your ribs or back – fibromyalgia could be a possible reason.


Osteoporosis is a common condition where the quality and density of bone decrease, leading to fragility and fractures. While it often impacts areas like the hips or spine, osteoporosis also affects ribs, causing pain.

The link between osteoporosis and rib pain happens because of micro-fractures. These tiny fissures develop over time when bones lose their structural integrity due to depletion in bone mineral density. They are difficult to detect but can cause substantial pain around the chest or back region.

It’s paramount to understand that with osteoporosis, a generic-looking fall or minor injury can result in significant problems including rib fractures. Hence, if you’re diagnosed with this disease and experience ongoing discomfort in your rib area, it’s essential to get checked for fractures.


Infections represent another potential culprit behind rib-related pain. Conditions such as pneumonia or an abscess in your lung could spark tenderness or discomfort around your rib cage. Notably present here is the illness Pleurisy – an infection causing inflammation of tissues surrounding the lungs leading to sharp chest pain felt while breathing deeply.

While treatment options for infections vary broadly based on individual circumstances, antibiotics play a crucial part in reducing bacterial infections while antivirals tackle viral ones like influenza which potentially lead to pneumonia‚ highlighting why getting regular flu shots is so vital!

Lung Cancer

Although not the primary symptom, people suffering from lung cancer may also complain about intermittent throbbing below the ribs both at the front and rear ends due to its spreading nature consuming nearby structures — including those precious ribs we’ve been harping about!

Keep track of any persisting coughs and unusual resentments around the chest region; especially if you have a history of smoking with frequent exposure to secondhand smoke. These conditions increase risk factors associated with lung cancer incidence significantly, hence vigilance is important for early detection and consequent treatment warding off potential health risks.

Pulmonary Embolism

Pulmonary embolism is an acute, life-threatening condition triggered by blood clots getting lodged in arteries inside the lungs. This blockage can cause severe chest pain which could feel like a sharp, stabbing sensation around the rib cage and back area. The discomfort may intensify with deep breaths, coughing, or bending causing undue pressure on the ribs.

If you experience dizziness, rapid pulse rate along sporadic chest pain remember to seek immediate medical intervention as these symptoms demand urgent attention. Timely treatment of pulmonary embolism often involves medications to break down dangerous clots while preventive measures navigate towards adopting healthier lifestyles deterring conditions leading to clot formation.

In conclusion – insight into these conditions isn’t just academic; it’s an essential piece of the puzzle that helps us understand why we might be experiencing discomfort or pain around our ribs and back region.

The Rib Cage

Understanding the causes of rib and back pain necessitates a fundamental grasp of our body’s anatomy, primarily focusing on the region known as the ‘rib cage.’ As an intricate structure, the rib cage plays a crucial role; let’s delve deeper into its composition.

To put it simply, your rib cage is like your body’s natural suit of armor. It provides protection to vital organs such as the heart and lungs. Comprised primarily of bone and cartilage, this area consists of 24 ribs, alongside two clavicles (collarbones), and a sternum (breastbone).

Notably, the uppermost seven pairs of ribs are called “true ribs,” owing to their direct connection with the sternum through individual costal cartilages. Below these are termed “false ribs” as they fuse together prematurely or lack any direct conexity with the chest bone.

The last set — considered “floating” since they neither connect to their fellow ribs nor reach around to your front side — attach solely to your spine in the back. This facet potentially leaves them more susceptible to certain injuries or conditions causing discomfort.

Given its essential function encasing valuable organs and crucial role in pivotal movements like breathing, any disruption within this structural network can lead to pain or discomfort. Recognizing these complexities surrounding such architecture helps us comprehend why back and rib pain occurs in numerous cases.

Symptoms of rib cage pain

Pain in the rib cage area can be unbearably persistent and excruciatingly distressing. It might manifest differently in individuals depending on what’s causing it, but there are some common symptoms to look out for:

  • Persistent aching or shooting pain around the rib cage
  • Difficulty breathing deep due to discomfort while inhaling and exhaling
  • Tenderness or sensitivity when touching the chest and upper back region
  • Swelling or changes in the shape of your rib area
  • An uncanny feeling of pressure in your chest, akin to something heavy pressing down

It’s crucial for you to understand these signs – they might help expedite diagnosis. However, remember that self-diagnosis offers limited accuracy.

What organ is behind right rib cage in back?

Looking specifically at anatomy, our bodies place several vital organs under the protection of the right rib cage. Most notably, this includes the right kidney and liver. The Gallbladder also finds its home here nestled under the liver. These organs’ ailments can potentially cause pain radiating towards or from the back.

Understanding where each organ is located will give you more insight into what could be causing your “back pain by ribs.” Not every episode of discomfort needs immediate attention, as we all experience occasional twinges now and then. But if you’re suffering regular or severe aches, that persists beyond an acceptable timeframe, always seek medical advice immediately.

How do you get rid of back rib pain?

Finding relief from back rib cage pain entails understanding its cause first and foremost because treatment options majorly depend on that information:

  1. Rest: Time to heal is a cure-all for an array of conditions including minor injuries or muscle strains.
  2. Over-the-counter medication: Non-prescription drugs such as ibuprofen can combat inflammation accompanying muscular trauma or arthritis.
  3. Hot or cold compress: Depending on your propensity, a hot or cold pack used in intervals can help alleviate pain caused by muscular strain or spasms.
  4. Gentle exercises and stretching: Often recommended for conditions like fibromyalgia – gentle movement increases blood flow hence facilitating recovery.

More complex conditions such as cancer, osteoporosis, infection, or slipping rib syndrome may require surgical intervention, antibiotics, lifestyle change counseling to manage weight-bearing limits on the affected part of the body. Always consult with healthcare professionals prior to trying any remedies at home though; they will guide you most effectively towards well-being and relief from “back pain in rib area.”

Remember – Ignoring symptoms only lets the root cause intensify over time undeterred. So let’s watch out for these signs diligently and keep ourselves healthier!

What Causes Rib Pain Without Injury?

Imagine having a rib pain for seemingly no reason. You didn’t have any accident, and there’s no bruise visibile. Yet it hurts when you cough or make certain movements. Although this might seem unnerving, in some cases rib pain can occur without a physical injury. There are several reasons for this that range from underlying medical conditions to something as simple but often overlooked as poor posture.

Muscular tension

Muscular tension or strain is one of the primary causes of rib pain without injury. According to research in the Clinical Journal of Pain, prolonged stress may lead to muscle rigidity which can cause discomfort around your ribs[^1^].

[^2^]: Jane Coad et al., “Stressful Life Events and Chronic Pain,” The Clinical Journal of Pain 16, no. 3 (2000)

This could be due to an activity like heavy lifting or even stress leading to tensed muscles over time.

Certain Diseases

Specific diseases such as costochondritis (inflammation of the cartilage connecting ribs with the sternum), fibromyalgia (long-term body-wide pain), osteoporosis (weakening of bones) can all cause rib pain even if you haven’t experienced an apparent injury.

For instance, according to JAMA Internal Medicine, Fibromyalgia affects around two percent of adults in America[^3^].

[^3^]: Frederick Wolfe et al., “The Prevalence and Characteristics of Fibromyalgia in the General Population” JAMA Intern Med vol 155 issue 1 (1995)

It would be worth being aware about these conditions if you experience consistent unexplained rib discomfort.

Unhealthy Lifestyle Habits

Certain lifestyle habits that don’t promote overall health can, from time to time, create rib discomfort. Unhealthy posture over extended periods of time such as slouching your body while sitting could lead to muscular tension around your ribs which in turn could cause pain. Moreover, consistent heavy smoking can induce chronic coughing leading to the occurrence of sore ribs.

While these reasons might explain the presence of rib pain without injury, It’s crucial that persistent pain should never be taken lightly and that professional medical advice is sought for proper diagnoses and treatment options.

When should I be worried about rib pain?

The experience of rib pain can often prove quite concerning. Without a doubt, our bodies send us these painful signals as warnings that something may be wrong. Of course, not all scenarios should cause you alarm – sometimes the discomfort can be due to harmless and ephemeral reasons such as muscle strain or minor injuries.

However, certain symptoms accompanying your rib pain demand immediate medical attention. They often indicate underlying serious conditions, from heart disease to lung infections.

Key Symptoms of Concern

An outline of some symptoms – which if accompany your rib pain – should escalate your concern would include:

  1. Severity: If the intensity of the pain is extreme or unbearable, it might be connected with a severe health condition.
  2. Persistent Pain: Rib discomfort that persists for more days than expected from a simple strain should not be left unchecked.
  3. Sudden Onset: A sudden onset of sharp
  • stabbing,
  • tearing
  • intense chest and back pains could indicate aortic dissection (tearing of one’s body major artery)
  1. Concomitant Chest Pain: Experiencing chest pressure or tightness alongside rib discomfort raises red flags for cardiovascular problems such as angina or myocardial infarction (heart attack).
  2. Difficulty Breathing: Having trouble catching your breath? This might signify conditions from pneumonia to pulmonary embolism.
  3. Additional Symptoms: Accompanying nausea, profuse sweating or fatigue? It’s possible there may lie cardiac distress beneath these multiple signs.

Seek immediate professional help if you notice any of these symptoms accompanying your rib cage discomfort.

The Crucial Bottom Line

While most instances do not merit panic – particulars like severity, persistent pain or related worrisome symptoms must never be ignored in context with rib discomforts’ convolutions.

Remember: Listening to your body’s warning signals often spells the difference between timely and delayed intervention. So, when in doubt about your rib pain – especially with the above symptoms – always consult a healthcare professional for expert advice.

Remember too: your health is irreplaceable! Don’t play roulette with it, whenever there’s cause for concern. Better be safe now than sorry later! You owe it to yourself to ensure optimal wellness at all times.

What Causes Pain Under Right Ribs Radiating to Back?

Pain that starts under the right ribs and radiates to your back can be quite distressing, not only because of the discomfort but also due to the uncertainty of what could be causing it. I’m here to discuss some potential causes.

1. Gallbladder Processes:

The gallbladder sits just beneath the liver on your right side. This small organ is responsible for storing bile, which aids in digesting fats. Sudden, sharp pain in this area may point towards gallstones or cholecystitis (an inflamed gallbladder). These conditions often cause a dull aching pain under your right rib cage that spreads outwards to your shoulder blades or middle back.

2. Liver Ailments:

The liver, holding its spot close to your right rib cage, if affected by conditions like Hepatitis or fatty liver disease may manifest as persistent pain under the right side of your ribs radiating to the back region.

3. Gastrointestinal Issues:

Certain gastrointestinal disorders can cause similar discomfort. An ulcer in either your stomach or duodenum (the first part of small intestine) might incite pain underneath the right ribcage with radiation backwards.

Keep in mind; while these are common culprits behind such symptoms- medical issues are almost never one-size-fits-all occasions. Various complexities make each patient’s experience different from another’s.

Hence if you’re continually dealing with a characteristic “rib-to-back” pain, schedule an appointment with a healthcare professional who can alleviate your uncertainty over its root cause and guide you towards optimal treatment options.

What might cause a back pain under your ribs?

Experiencing back and rib pain can be a disturbing sensation, especially when you’re not sure about the source of the discomfort. The causes of pain in the back side of ribs may be multifarious, extending from minor injuries to severe health conditions. Today, I will share four possible reasons why you might feel these pesky achy ribs and back.

1. Musculoskeletal Problems

One common cause is musculoskeletal issues such as strains or sprains in muscles and ligaments connected with your rib cage. Overstretching, heavy lifting, strenuous activities, or repetitive movements often result in micro-tears in these tissues leading to inflammation and hurt.

2. Costochondritis

A more specific musculoskeletal condition called Costochondritis could also elicit this kind of unease. This condition classically involves inflammation of your chest wall cartilage – the tough material connecting your ribs to breastbone (your sternum).

3. Rib Injuries

Rib injuries—such as fractures or contusions—often triggered by falls or direct blow to chest can reflect through sharp pain around lower rib cage reverberating tangibly at your backside.

4. Underlying Medical Conditions

Finally yet importantly, underlying medical conditions like kidney stones or gallbladder infections can sneak into the list of major contributors behind this sinister ache under your ribs transcending towards your back.

Needing further help? Don’t ignore persistent or excruciating sensations; you need to consult a healthcare professional if symptoms keep on parading along! New insights can pin down exact sources and assist in sculpting out an effective roadmap for treatment and relief so that you enjoy freedom from relentless discomfort today itself!

Why do my ribs and back hurt?

The distress radiating from your back towards your ribs, or vice versa, can be alarming. This discomfort is usually a symptom of an underlying condition and not a disease all by itself. Let me explain some potential causes that could lead to you asking, “why do my ribs and back hurt?”

Musculoskeletal Conditions

Various musculoskeletal conditions may result in the all-too-common complaint of aching back ribs. These issues range from muscle strain after working out harder than usual to arthritis causing inflammation of rib joints.

An apparent reason for this discomfort can be an intercostal muscle strain. The term “intercostal” refers to several groups of muscles situated between the ribs that aid in chest wall movement during breathing. If these crucial tissues are strained due to heavy lifting or rigorous exercise, pain along the rib cage extending into the back area can become noticeable.

Moreover, osteoarthritis (a form of arthritis impacting the protective cartilage that cushions bone ends) might affect the joints where the ribs meet the spine, resulting in persistent soreness as well.

Resilient Health Concerns

Rib pain radiating toward your back might also hint at more severe health situations like kidney stones or infections. Kidneys are located near our backs under the lower rib cage; hence symptoms related to kidneys often get misconstrued as ‘back’ or ‘rib’ pain.

Harmless yet Discomforting Reasons

At times, conditions such as gas build-up inside your digestive system might cause mild yet bothersome discomfort around your upper back and adjacent rib region. However, let’s not neglect instances where stress-induced anxiety leads us to perceive physical pain over vast areas including our backs and ribs.

Don’t let this list make you anxious about every minor ache or twinge you feel. Many reasons exist for experiencing such occasional discomforts and most of them aren’t harmful or life-threatening. At the end of the day, understanding your body and acknowledging any unusual changes are what matters most so that timely action can be taken when necessary.

Can Slipping Rib Syndrome Cause Back Pain?

Absolutely, slipping rib syndrome is indeed one of the potential culprits behind back pain. To understand why it happens, let’s delve a little deeper into what this condition entails.

Slipping rib syndrome occurs when there is an excessive movement in the lower ribs. Normally, your ribs stay firmly in place through sturdy cartilage attachments to your spine and breastbone. In slipping rib syndrome, these connections become weak or damaged. Consequently, your ribs might slip or move abnormally causing discomfort.

Primarily characterized by pain in the lower chest or upper abdomen region, the condition might also cause distress at the back under certain circumstances. When a rib slips, it can potentially apply pressure on various nearby nerves and tissues which can trigger pain elsewhere, including your back.

Let’s break it down:

  • When a rib “slips,” it disrupts its normal alignment.
  • This disruption places undue stress on surrounding muscles and ligaments.
  • Ligaments that are stretched beyond their capacity can lead to inflammation around your ribs and spine.
  • Inflammation in these areas may result in considerable back pain along with other symptoms like tenderness and limited mobility.

It’s noteworthy that not everyone with slipping rib syndrome will experience back pain; however, uncertainty should never stop us from seeking advice. If you regularly suffer from unusual or chronic discomfort near your chest, abdomen, or back – especially if coupled with noticeable limitations during physical activities – such as twisting torso movements – it would be sensible to consult with a healthcare provider.

Although only a qualified practitioner will provide you with definitive confirmation, understanding common causes and possible symptoms could aid you significantly during those initial steps towards achieving relief from persisting rib or back pain.

What Causes Back Pain Under Both Sides of My Ribs?

Experiencing back and rib pain can be quite distressing, especially when the discomfort seems to spread around your entire upper body. One may feel a dull ache, sharp shooting pain, or both that traverses from the front to the back under their ribs. This could signal several potential health issues that shouldn’t be ignored! Let’s dive in and explore some of those notable conditions.

Gastrointestinal Disorders

The feeling of discomfort under both sides of your ribs isn’t just confined to muscular or skeletal problems; gastrointestinal troubles are also a major contributor. For instance, gallbladder dysfunction such as cholecystitis (inflammation) or gallstones can cause severe stomach pains that radiate towards the back underneath your rib cage. Similarly, pancreatitis – inflammation of the pancreas – often results in similar effects.

Apart from these two, other digestive disorders that might result in this kind of pain include peptic ulcers and gastroesophageal reflux disease (GERD). Irrespective of it being an ulcer on your stomach lining or acid reflux seeping into your esophagus, any affliction affecting these vital organs may also account for this specific symptom.

Kidney Conditions

Your kidneys sit toward your lower back below the ribcage. Certain kidney-related conditions including kidney stones, urinary tract infections (UTIs), and pyelonephritis (kidney infection) could trigger acute or chronic discomfort throughout your abdominal region extending up to both sides under your ribs.

Co-existing Musculoskeletal Problems

Lastly – but equally significant – common musculoskeletal issues like intercostal muscle strains or injury might hurt not only one side but both sides under your rib cage. The area is densely packed with muscles knitting together numerous bones; therefore any stress exerted on them may result in wide-ranging pains.

Nonetheless, it is critical to remember that this list isn’t exhaustive, and the underlying cause of your back and rib pain may sway toward some other medical concerns!

When to See a Doctor

Let’s face it; experiencing rib and back pain can be quite disconcerting, especially when you’re not sure if it’s a trivial issue or an indication of something more serious. Understanding when these symptoms warrant professional medical attention is essential.

Persistent rib and back pain should not be overlooked. If the pain you’re feeling lasts for more than a couple of days, doesn’t improve with over-the-counter medications, or becomes progressively worse, make an appointment with your healthcare provider as soon as possible.

Additionally, certain alarming signs call for immediate medical intervention:

  • Difficulty in breathing accompanied by severe chest pains can be indicative of lung diseases or an impending cardiac event.
  • A fever combined with chest discomfort might indicate an infection like pneumonia.
  • Unexpected weight loss along with enduring back and rib discomfort could suggest serious conditions such as cancer.
  • Sudden sharp, stabbing pains require urgent evaluation too.

Moreover, do pay heed to other seemingly unrelated signs such as fatigue, persistent cough, and excessive sweating at night — they may seem innocuous on their own but could potentially flag grave health issues when seen in concert with rib and back pain.

Remember – personal health always comes first. So whenever in doubt about the nature of your symptoms or their potential implications – consult with a provider promptly. Their expert advice will help diagnose any underlying condition accurately and ensure effective treatment plans. Ultimately, what seems like overcaution could prove to be lifesaving!

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Pain Management and Injury Relief is a leading patient-centered pain clinic in Southern California. Our goal is to help you achieve long-lasting pain relief. By utilizing the latest medical technologies and equipment paired with innovative procedures and treatments, our team can help you improve your quality of life.

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