Getting up in the morning with back pain may be caused by normal physiological reasons, but also can not be ruled out is caused by colds, lumbar strain, etc., should be timely consultation to find out the cause of the disease. 1. Normal physiological reasons: If you sleep in a position for a long time or sleep on your stomach or curl up; or the mattress is too soft or too hard, etc., it will lead to the symptoms of back pain in the morning after getting up. 2. Cold: If you get cold while sleeping at night, it will easily lead to upper respiratory tract infection, which may produce the phenomenon of low back pain, and the symptoms will be more obvious after getting up in the morning, and even generalized pain and fatigue. 3. Lumbar muscle strain: due to long-term chronic injury, can cause lumbar tendons and ligaments of the aseptic inflammation, in the sleep due to slow blood flow, the inflammatory metabolites of the lesion will accumulate in the lesion, there will be back pain, especially obvious in the morning when you get up. If you get up in the morning with back pain, there may be other reasons, if you exclude the physiological reasons, you should consult a doctor to clarify the specific causes, and if necessary, carry out the appropriate treatment.