I fell off a ladder today while on the job. I was unable to break the fall and landed on the parking lot pavement on my back. I took the hit directly on the right shoulder blade/rib area. As the night is wearing on, I have an increasing amount of pain on the front, in the right breast area. Breathing is getting tighter. Can a cracked or broken rib cause the pain to transfer from the back to the front or should I be concerned that something else is wrong? I know there is nothing that can be done for a cracked rib except pain management so I never went to the ER.