Waking up in the morning with painful symptoms in the back, commonly due to the following reasons: First, in the process of sleep due to the pillow height is not appropriate, will lead to spasm of the latissimus dorsi and trapezius muscles, thus causing painful symptoms in the back in the morning, when pressed there are spastic hard knots in the muscles, painful symptoms will increase, cervical spine activities are sometimes affected. Second, severe cervical spondylosis attack can be induced during sleep due to posture, and the patient will experience neck pain, back pain and upper limb radiating pain and numbness symptoms, which will be accompanied by cervical spine activity restriction, and cervical spinal nerve edema can be confirmed by MRI. Painful symptoms in the back when waking up in the morning should be promptly seen, and the symptoms can be gradually relieved through massage and other corresponding treatments.