Waking up with back pain after getting up to relieve may be physiological factors, may also be lumbar muscle strain, lumbar disc herniation, ankylosing spondylitis and other pathological factors. 1. Physiological factors: such as sleeping in an improper posture, mattress is too soft, the waist is cold and other factors, will cause the symptoms of back pain after waking up, after activities can be relieved. 2. Lumbar muscle strain: such as long-term heavy physical or strenuous exercise, can lead to chronic strain of the lumbar muscles, night sleep lumbar muscle compression, there will be waking up with back pain, but in the wake up activities on the phenomenon of relief. 3. Lumbar disc herniation: after the lumbar disc herniation, the nerve root is compressed, which will cause pain and numbness in the lumbar region and lower limbs, and the phenomenon of waking up with lumbar pain may also occur. 4. Ankylosing spondylitis: rheumatic immune disease, can involve the spine and sacroiliac joints of chronic inflammation, typical symptoms of low back pain, morning stiffness, that is, waking up in the morning pain, activity can be relieved. Waking up with back pain after getting up to relieve, there may be other causes, if the symptoms occur frequently or continue to do not relieve, it is recommended that patients go to the hospital in a timely manner to improve the relevant examination to identify the causes of targeted treatment.