Getting up in the morning with back pain and moving around for a while may be due to physiological reasons such as sleep posture and lack of exercise for a long time, or it may be due to autoimmune diseases such as rheumatoid arthritis and ankylosing spondylitis. 1. Physiological reasons: If the patient sleeps for a long time, and the body is in a fixed position for a long time during sleep, it will lead to local myofascial tension leading to pain, and after getting up and moving around, the myofascia will be gradually relieved after being stretched. Lack of exercise for a long time, local blood circulation slows down, metabolites can not be discharged in time leading to pain, blood circulation accelerated after the activity, the symptoms are relieved. 2. Autoimmune diseases: autoimmune diseases may also appear in the morning back pain, activity after the improvement of the situation, the typical patient can also appear muscle stiffness, lumbar activity restrictions and other morning stiffness performance, such as rheumatoid arthritis, ankylosing spondylitis. The main reason is that the inflammatory reaction is active, inflammatory mediators accumulate around the joints, and can be gradually absorbed along with the blood circulation and lymphatic circulation after the activity, and the symptoms are relieved. Back pain in the morning to get up and move for a while there may be other reasons, it is recommended to go to the hospital in a timely manner, improve the examination to clarify the cause of the disease, under the guidance of the doctor to give targeted treatment or treatment.