What should I do if I have lower back pain in the second half of the night and I’m fine during the day?

Lower back pain in the second half of the night and nothing during the day should be treated according to the cause, common causes include myocardial infarction, osteoporosis, intercostal neuralgia and so on. Commonly used treatments include general treatment, physical therapy, medication and surgery.
1. Myocardial infarction: absolute bed rest, monitoring of blood pressure, respiration and other vital signs and oxygen intake. Coronary artery expanding drugs such as nitroglycerin can be used, reduce palpitation oxygen consumption drugs such as metoprolol, anti-thrombotic drugs such as aspirin and lipid regulating drugs such as atorvastatin, etc., and surgical treatments such as percutaneous coronary intervention can be used in severe cases.
2. Osteoporosis: supplement calcium and vitamin D, use drugs to inhibit osteoclasts such as bisphosphonates, inhibit bone resorption drugs such as calcitonin. Daily life should pay attention to a balanced diet, adequate sun exposure, regular exercise, etc. to help the health of bone and muscle.
3. Intercostal neuralgia: physical methods such as transcutaneous electrical stimulation and local ultrasound can relieve the symptoms, drugs such as carbamazepine, baclofen, etc., and nerve block treatment can be used when the pain is obvious.
Sleeping in the middle of the night back pain during the day and nothing, there may be other reasons such as herpes zoster, etc. It is recommended to go to the hospital in a timely manner, improve the examination to clarify the cause of the disease, standardized treatment under the guidance of the doctor. The above drugs need to be used reasonably under the guidance of a doctor, avoid self-medication.