First, lumbar back fasciitis and lumbar muscle strain, patients with these two diseases can have the symptoms of lumbar swelling and pain after waking up in the morning, especially when cold, tired or sedentary, bending back swelling and pain is very obvious, after a while of activity can be improved, this time to early physical examination and examination, to exclude other diseases to diagnose. Second, rheumatoid, when rheumatoid involvement of the spine, can also have morning after the lumbar swelling, pain symptoms, then to early physical examination and examination, early examination of the lumbar spine X-ray and CT, blood tests to diagnose and treat. Third, ankylosing spondylitis, ankylosing spondylitis patients can also have morning after the lumbar swelling, pain, can be accompanied by pain in the sacroiliac joint, then we should check the lumbar spine MRI, CT and blood tests to diagnose and early treatment.