<s>[INST] i have a spare rib at my neck and it swells and can be sore and i sometime feel like a jelly lump at my neck and think something is there i have had 2op on my shoulder in september and its sore again and had 2 get injection again but it very badley inflamed inside [/INST] Hello, A painful sore rib that has not responded to pain killers and local injections needs to be surgically removed. It can cause nerve root compression and can add to further problems. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon </s>