Every morning when you wake up with back pain but not after waking up, it can be caused by the following reasons: first, lumbar dorsal myofasciitis and lumbar muscle strain, patients with these two diseases can have symptoms of back pain after waking up, but after a while of activity the back does not hurt or relieved, at this time to early examination and examination to exclude other diseases to diagnose. Second, rheumatoid, when rheumatoid involvement of the spine, can also have morning back pain, but after a while after the activity of the symptoms, then to check the spine of the X-ray, CT and blood tests to diagnose and treat. Third, ankylosing spondylitis, ankylosing spondylitis patients can also have back pain in the morning, can be accompanied by pain in the sacroiliac joint, then early examination of the lumbar spine X-ray, sacroiliac joint X-ray and blood tests for early diagnosis and early treatment.