Getting up in the morning with chest and back pain may be due to costochondritis, thoracic disc herniation, myocardial infarction and other diseases. 1. Costal chondritis: the etiology of this disease is not clear, but it is mostly related to viral infection, chronic strain of thoracic and rib joint ligaments, endocrine and immune function abnormalities, trauma and other reasons. The main symptom is pain in the chest, but the pain can radiate to the back or abdomen, so the patient will have the performance of chest and back pain in the morning. 2. Thoracic disc herniation: the main cause of this disease is degenerative changes in the thoracic spine, which can also be induced by poor posture, overwork, acute trauma and other factors, resulting in thoracic and back pain, weakness, sensory disorders in the lower limbs and other symptoms, and some patients may have anterior chest and posterior back pain in the morning. 3. Myocardial infarction: the basic etiology of this disease is coronary atherosclerosis, which is mainly reflected in the increase of myocardial oxygen consumption, insufficient oxygen supply, and decreased blood perfusion. It can be induced by emotional fluctuations, overeating and other factors, and patients will experience symptoms such as pain in the anterior region of the heart and pain in the posterior part of the sternum, which can be manifested as anterior chest and back pain. In addition to this, getting up in the morning with anterior chest and back pain also needs to be considered as a possible heart disease, thoracic vertebrae fracture, pleurisy and so on. It is recommended that patients who have chest and back pain in the morning should go to the hospital, complete the examination and clarify the specific cause.