Back pain while sleeping can be caused by the following reasons: firstly, tumor, when the tumor or metastasis of spine, the symptom of back pain while sleeping can appear, which is the resting pain and the characteristic of spine tumor pain, early X-ray film, CT, MRI of spine should be taken to diagnose and treat it at an early stage. Secondly, osteoporosis, severe osteoporosis can appear back pain when sleeping, which can be accompanied by generalized bone and joint pain, and it should be diagnosed by early blood test, X-ray film of spine and CT. Third, severe lumbar dorsal myofasciitis, severe lumbar dorsal myofasciitis can also appear when sleeping back pain symptoms, early checkup and examination, exclude other diseases to diagnose.