Back pain in the morning can be caused by the following reasons: first, dorsal fasciitis, when the dorsal fasciitis can appear in the morning when the back pain, often due to cold, exertion and lead, then we should early checkup and examination, to exclude other diseases to diagnose and treat. Second, rheumatoid, when rheumatoid involved in the spine, can also appear in the morning back pain symptoms, can have morning stiffness, can be accompanied by other joints pain, this time to early checkups, early blood tests, as well as shooting the thoracic vertebrae X-ray film, CT for early diagnosis and treatment. Thirdly, ankylosing spondylitis, ankylosing spondylitis patients may have back pain in the morning, may be accompanied by sacroiliac joint pain, then we need to take sacroiliac joints X-ray, thoracic spine X-ray, and blood tests for early diagnosis and treatment.