Getting up in the morning with a stiff and painful neck may be caused by pillow fall, muscle strain, cervical spondylosis, etc., and you should consult a doctor in time to find out the cause of the disease. 1. Pillow fall: due to poor sleeping posture, too high or too low pillow, cold stimulation, etc., can cause pillow fall, resulting in local soft tissue congestion, swelling, spasm, severe pain, restricted movement, which can be manifested as stiff neck and pain in the morning. 2. Muscle strain: such as long hours of work, often bending over, playing with the phone or keeping a posture for a long time, may lead to soft tissue fatigue and muscle strain in the neck, thus causing stiffness and pain in the neck, which is more obvious when you wake up in the morning. 3. Cervical spondylosis: Due to various loads, labor, and even injuries, the local soft tissues of the cervical spine will undergo degeneration, proliferation, and aging. When you get up in the morning, your neck is stiff and painful, accompanied by numbness and weakness of the upper limbs. Wake up in the morning stiff neck pain, there may be other reasons, should be timely consultation, please doctor to clarify the specific causes, if necessary, the corresponding treatment.