Standing back pain lying down without pain may be muscle spasm and other physiological reasons, but also may be caused by fasciitis, spinal degenerative diseases and other pathological reasons. 1. Muscle spasm: due to the incorrect posture caused by the patient’s back muscle spasm, standing muscle tension pain, lying down when the local spasm is relieved and relaxation, pain relief. 2. Fasciitis: aseptic inflammation of the fascia, ligaments and other tissues of the back caused by long-term strain injury and other factors, muscle tension after standing up, the patient may appear standing back pain lying down without pain. 3. Degenerative diseases of the spine: such as cervical spondylosis, lumbar disc herniation and other diseases, when standing up can cause herniation to aggravate, stimulate the peripheral nerves, the patient may appear standing back pain lying down. Standing back pain lying without pain may also have other reasons, should be timely consultation, clear cause, under the guidance of the doctor for treatment.