Getting up every morning with back pain may be caused by physiological factors such as improper sleeping posture, or it may be caused by lumbar muscle strain, rheumatoid arthritis, ankylosing spondylitis and other diseases. 1. Physiological factors: if the daytime activities of tired, sleeping posture, mattress hardness is not appropriate and so on, can lead to lumbar back pain symptoms. 2. Lumbar muscle strain: due to prolonged walking, weight bearing and other factors, can cause chronic strain of the lumbar muscles, so that the lumbar muscles appear tense and spasmodic, and in the morning, you will have a feeling of lumbar pain after sleeping. 3. Rheumatoid arthritis: rheumatoid arthritis is mainly manifested as symmetric pain in small joints, which will be aggravated after resting, and can be accompanied by symmetric persistent swelling and pain in small joints of the wrists, palms, fingers and toes. 4. Ankylosing spondylitis: If the patient wakes up in the morning or rests for a long time after the lumbar sacral and other parts of the asymmetric pain, and the joints have a viscous stiffness, the symptoms are reduced after the activity, may be ankylosing spondylitis. Every day to get up with back pain patients if the symptoms continue not to ease, it is recommended that patients seek medical attention, clear cause of the disease under the guidance of the doctor for standardized treatment.