I have been having pain in my ribs for a couple of years. It's most notable when pressure is put on them. For example when I lay in bed or lean back or forward in a chair. They also seem to be affected when there is pressure on the inside, say when I eat a larger than normal meal. Mine is mostly at the bottom of the ribs but on the inside. I do not take any meds except if it gets really bad then I pop an Advil or two. I am not familiar with pleurisy. Could it be possible that I have this condition for years? Wouldn't I be in a great amout of pain? I do not have pain when I breathe. I can cause relief when I massage by hand the painful area. I have had all of the standard (blood, chest scan, heart, stress) tests and all are normal. I am of proper weight and don't drink or smoke, regulary exercise.