Back pain after sleeping can be caused by the following reasons: first, dorsal myofasciitis, patients with dorsal myofasciitis can have symptoms of back pain after sleeping, and can have morning stiffness and increased pain when waking up, which should be diagnosed by early physical examination and examination to exclude other diseases. Second, rheumatoid, when rheumatoid involvement of the spine, can also have symptoms of back pain after sleep, can also have morning stiffness and morning pain aggravated, then to check the spine X-ray, CT and blood tests for early diagnosis and early treatment. Third, ankylosing spondylitis, ankylosing spondylitis patients can have symptoms of back pain after sleeping, can be accompanied by pain in the sacroiliac joint and morning stiffness, then we should check the x-ray of the sacroiliac joint and the x-ray of the spine, MRI, as well as blood tests for diagnosis and treatment.