Sleeping with back pain should be treated according to the cause, which can be categorized into physiological causes and pathological causes, and the treatment includes adjusting the sleeping posture, physiotherapy, medication, and so on. 1. Physiological causes; such as improper sleeping posture, too long sleeping time, overwork and so on. In this case, the symptoms can be relieved by adjusting the sleeping posture, and physical therapy such as massage and traction can also be used to relieve the pain. 2. Pathologic causes: (1) Physical weakness: Physical weakness, such as when recovering from a serious illness, can present the symptom of back pain when sleeping, which can be accompanied by the symptom of fatigue and tiredness. It is necessary to carry out functional exercises and dietary adjustments for the physical condition to help the body recover early. (2) Tumor: when there is a tumor or metastatic tumor in the spine, the symptom of low back pain while sleeping may appear, then early blood test, nuclear magnetic examination of the spine and CT should be conducted for early diagnosis and early treatment. Radiotherapy and surgery should be carried out to treat the tumor. (3) Osteoporosis: Osteoporosis of the spine can also cause low back pain at night. It can be treated with calcium and vitamin D supplementation. (4) Lumbar dorsal myofasciitis: Patients with severe lumbar dorsal myofasciitis may also have low back pain at night, which can be treated with hot compresses, physiotherapy and non-steroidal anti-inflammatory drugs such as celecoxib. When the symptoms of low back pain occur during sleep, if it can not be relieved after adjusting the sleeping position, it is recommended to consult a doctor in time to identify the cause of the disease and receive appropriate treatment.