Waking up with back pain may be caused by inappropriate bed board, incorrect sleeping posture, lumbar fasciitis, lumbar muscle strain and lumbar spine disease. 1. Unsuitable bedboard: some bedboards are too soft, some bedboards are too hard, resting on these unsuitable bedboards, it is easy because the lumbar muscle does not get a good rest while sleeping and waking up with back pain. 2. Incorrect sleeping position: when sleeping because of the incorrect sleeping position, such as shrimp-like sleeping position, resulting in the soft tissues of the lower back fatigue and spasm, will wake up with low back pain symptoms. 3. Lumbar back fasciitis: when the lumbar back fascia has aseptic inflammation, the lumbar back fascia will be stimulated by stretching and bending after waking up, resulting in inflammation, and waking up with back pain. 4. lumbar muscle strain: lumbar back muscle strain, sleep without feeling pain in the lower back, wake up soreness of lumbar back muscle strain symptoms are manifested. The symptoms of waking up with back pain appear. 5. Lumbar spine diseases: such as lumbar disc herniation and lumbar spine slippage, etc., because of the stimulation of the muscles and fascia of the lumbar back, you can wake up with the clinical symptoms of waking up with back pain. If you wake up with back pain, no other symptoms, you can temporarily observe, if the symptoms worsen or continue to do not relieve, it is recommended to go to the hospital in a timely manner, to clarify the cause of the disease, and actively cooperate with the doctor’s treatment, regular review.