Waking up with pain behind the neck can be caused by the following reasons: first, cold, wind, when sleeping with air conditioning or open windows blown by the wind, can lead to acute injury to the muscles and fascia behind the neck, resulting in the symptoms of pain behind the neck after waking up, this time to early physical examination, early cervical spine X-ray, CT, to exclude other diseases to diagnose, early physical therapy and oral medication, topical medication, The second thing is that the pillow is often the most important thing. Second, the pillow, pillow is often due to sleep pillow height is not appropriate, or due to sleep posture is not correct, and lead to acute injury to the muscles around the neck, fascia, can appear after waking up pain in the back of the neck, this time to early physical examination, early physical therapy and oral drug treatment, most patients can have good results.