This case report presents a rare instance of chronic rib osteomyelitis in a 23-year-old female from Darchula. an underserved rural area in Nepal. Rib osteomyelitis is uncommon and often diagnosed late due to its subtle presentation. The patient initially presented at a primary care center with a 2-week history of a protruding bony mass in the right upper back. https://halohealthcarers.shop/product-category/exercise-ball/