Getting up in the morning with back pain may be caused by physiological factors such as too soft mattress, maintaining a sleeping position for a long time, or it may be caused by lumbar muscle strain or kidney stones. 1. Physiological factors: If the mattress is too soft when you sleep, the waist is not reasonably supported, or sleep for a long time to maintain a posture, may lead to the accumulation of local lactic acid, easy to cause lumbago. So in the morning after waking up, there will be a manifestation of lumbago. 2. Lumbar muscle strain: Lumbar muscle strain may be caused by excessive weight bearing on the lumbar region, congenital deformity of lumbar vertebrae and other factors. Patients will have lumbar pain and lumbosacral pain, which will lead to the symptom of lumbar soreness in the morning. 3. Kidney stones: Kidney stones are considered to be caused by metabolic abnormalities, urinary tract obstruction, urinary tract infection, taking drugs and other factors. The patient will waist pain, hematuria, abdominal distension, lumbago and other manifestations, so the patient will wake up in the morning lumbago performance. It is suggested that if it is caused by physiological factors to wake up in the morning with back pain, no treatment is needed, usually after resting or adjusting the sleeping position can be relieved. If it is caused by disease, you need to consult a doctor in time to check and treat the cause of the disease.