There are several possible causes for back pain in sleep: first, tumors, when there are tumors or metastases in the thoracic spine, there can be back pain in sleep, which is the pain characteristic of tumors, for resting pain in sleep, to carry out nuclear magnetic, CT, X-ray examination of the thoracic spine for early diagnosis, blood tests, and ECT examination if necessary. Second, osteoporosis, osteoporosis can also occur when sleeping back pain, especially when there is a compression fracture of the thoracic spine, the pain is very obvious, early CT, X-ray examination of the thoracic spine, to make a diagnosis. Thirdly, severe back fasciitis, severe back fasciitis can occur when sleeping back pain, can be in the morning when the pain is aggravated, after the daytime activities for a while can be improved, early examination and examination to exclude other diseases to make a diagnosis.