Every morning when you wake up with back pain can be caused by several reasons: first, lumbar dorsal myofasciitis and lumbar strain, these two diseases are the most commonly caused by back pain, can be back pain after waking up in the morning, and after a while of activity can be improved, this time to early examination and examination, to exclude other diseases to diagnose. Second, ankylosing spondylitis, ankylosing spondylitis patients typically have symptoms of back pain in the morning, can be accompanied by pain at the sacroiliac joint, can be accompanied by morning stiffness, serious cases will affect the entire spine, resulting in the entire spine activity is limited, then to check the blood tests and take X-rays of the lumbar spine, sacroiliac joint to diagnose. Third, rheumatoid, when rheumatoid involves the spine can also have the symptoms of back pain in the morning, can be accompanied by morning stiffness, then we should check the spine x-ray, MRI and blood tests to diagnose and early treatment.