Getting up in the morning with neck pain may be caused by physiological factors, but also pathological factors such as cervical spondylosis, ankylosing spondylitis, muscle strain and so on. 1. Physiological factors: poor posture or twisting of the neck when sleeping at night may lead to muscle fatigue, sleeping at night and blowing air-conditioning muscle cold can also cause neck pain. 2. Cervical spondylosis: cervical spondylolisthesis, straightening of the physiological curvature or herniated discs can also cause neck pain in the morning. 3. Ankylosing spondylitis: mainly spinal pain and morning stiffness, which can be relieved by appropriate activities. 4. Muscle strain: a long time a posture too long or often work at the desk can cause muscle fatigue around the cervical spine soreness. Getting up in the morning neck muscle pain if often occur, it is recommended to go to the hospital in time for examination and treatment.