Wake up back pain may have the following reasons: First, fasciitis, fasciitis is often due to cold, exertion and lead to, will appear after waking up back pain, and after the activity can be improved symptoms. Second, rheumatoid diseases, when rheumatoid involvement of the spine, rheumatoid spondylitis can occur, and lead to back pain after waking up, to carry out relevant blood tests and X-ray film, nuclear magnetic examination, to diagnose and treat. Third, ankylosing spondylitis, ankylosing spondylitis can often involve the entire spine, can be pain after waking up or in the morning, can be accompanied by the symptoms of morning stiffness, to carry out relevant blood tests, as well as spinal X-rays, nuclear magnetic examination, for diagnosis and treatment.