Sleeping with spinal pain may be related to the following reasons: 1. It may be caused by problems with the bed, which may be too hard or too soft to cause this condition. The former is due to severe pressure on the surrounding soft tissues when the bony prominence of the spine is in contact with the bed, which then produces pain around the spine. The latter is caused by the downward arch of the spine while the patient is sleeping, resulting in strain and injury to the ligaments and muscles around the spine, resulting in pain. 2. 3, may be due to fasciitis, commonly caused by the back of the patient during sleep with cold, or back contact with cold objects, causing deep fascial parts of the aseptic inflammation. When the patient wakes up in the morning, he or she will feel significant pain.4. It may also be caused by a disturbance in the relative relationship between the small joints of the spine, which the patient can simply interpret as a misalignment of the small joints of the spine. This condition is often due to the patient’s poor posture, or sleeping in a bed with unevenness, which in turn leads to the above-mentioned lesions, which can also manifest as significant pain around the spine.