There are two possible reasons for waking up with back pain every morning, first, fasciitis and lumbar strain of the lumbar back muscles, this disease is due to long-term sedentary, bending over and holding things or cold, often appear in the morning when the back pain is very obvious, and after a while of activity can be relieved, often microwave physiotherapy or oral medication can be cured, but to avoid long-term bending work and sedentary. Second, rheumatic diseases, such as rheumatoid spondylitis or ankylosing spondylitis, both of which can lead to severe lumbar pain in the morning, and can be accompanied by lumbar stiffness, that is, the symptoms of morning stiffness, then to X-ray and blood tests for diagnosis and treatment.