There are several possible causes of low back pain and sleeplessness: first, severe lumbar strain and lumbar dorsal myofasciitis, which can also cause severe low back pain, especially during sleep, and can be too painful to sleep, and should be diagnosed by early physical examination and examination to exclude other diseases. Second, disorders of small joints and instability of the lumbar spine are common in the elderly and can be very significant when turning over at night, so early X-ray and CT examinations of the lumbar spine are needed for diagnosis. Third, tumors of the lumbar spine, tumors of the lumbar spine can also appear as resting pain at night when sleeping, which leads to sleeplessness, and should be diagnosed by nuclear magnetic examination of the lumbar spine and blood tests. Fourth, osteoporosis of the lumbar spine, when the lumbar spine is severely osteoporotic, can also appear when sleeping back pain, especially when there is a compression fracture of the lumbar spine, the pain is more obvious, to carry out blood tests, as well as lumbar spine X-ray, CT, nuclear magnetic examination for diagnosis, if necessary, to the endocrinology department for consultation.