The first is lumbar dorsal myofasciitis, which is often caused by chronic aseptic inflammation of the lumbar dorsal muscle fascia due to cold and strain, and can be alleviated after a while of activity, which should be diagnosed by early examination of the lumbar spine X-ray and CT to exclude other diseases. Secondly, lumbar muscle strain, lumbar muscle strain can also have the symptoms of lumbar pain after waking up in the morning, and can be improved after a while of activity, often due to chronic strain of the lumbar muscles and lead to symptoms of lumbar pain, then early physical examination, early physical therapy and oral medication. Third, rheumatoid, rheumatoid involvement of the spine can also have the symptoms of lumbar pain after waking up in the morning, after a little activity can be improved, often with morning stiffness, then to check the lumbar spine X-rays, CT and blood tests to diagnose. Fourth, ankylosing spondylitis, ankylosing spondylitis patients can have back pain in the morning after waking up, and after a short period of activity can be improved, there can be morning stiffness, there can be pain in the sacroiliac joint, then we should check the sacroiliac joint, lumbar spine x-ray and blood tests to diagnose.