Early morning back pain and stiffness should be selected according to different causes of different treatment methods, the cause may be due to lumbar muscle strain, lumbar disc herniation, ankylosing spondylitis and other reasons. Specific treatment methods include physical therapy, drug therapy, and surgery. 1. Lumbar muscle strain: If it is due to overloading of the lumbar muscles, it may be stiff and spasmodic. It is recommended that patients first carry out conservative physical therapy, hot compresses and physical therapy to relieve the stiffness of the lumbar muscles. If there is no effect, you can take ibuprofen extended-release capsules and other drugs. 2. Lumbar disc herniation: Lumbar disc herniation can cause lumbar pain, and after sleeping, the local circulation will be reduced, and the lumbar pain and stiffness will be obvious when you wake up in the morning. Physical therapy such as acupuncture, acupressure, hot compresses, or non-steroidal anti-inflammatory drugs such as ibuprofen can be taken to relieve pain and control inflammation. If it is serious, disc removal surgery can be performed. 3. Ankylosing spondylitis: Ankylosing spondylitis is a chronic immune disease that causes stiffness and pain in the lower back in the morning. It is not yet curable and can be treated with non-steroidal anti-inflammatory drugs such as Meloxicam and Loxoprofen sodium. If the medicines are not effective, surgical treatment can be taken. In addition to the above causes, nephritis, rheumatism and other diseases can cause early back stiffness, so it is recommended that patients with back stiffness and pain should consult a doctor as soon as possible and choose the treatment according to the test results.