Back pain can be caused by the following reasons: first, dorsal myofasciitis, dorsal myofasciitis can have symptoms of back pain after waking up in the morning or after waking up from sleep, which can improve after a while of activity. The second is ankylosing spondylitis, which can involve the entire spine and cause pain in the spine of the back, accompanied by morning stiffness and pain in the sacroiliac joints. This time to check the x-ray of the sacroiliac joint and the spine x-ray, MRI, blood tests to diagnose and treatment; third, rheumatoid, rheumatoid can also involve the entire spine, resulting in pain in the spine, can have morning after waking up or sleep wake up back pain symptoms, this time to check the blood tests and X-ray of the spine, CT to early diagnosis and early treatment.