Sometimes back pain after waking up can be caused by the following reasons: first, lumbar muscle strain, lumbar muscle strain can have pain in the back after waking up or when waking up in the morning, it is necessary to check the body early, early examination of the lumbar spine X-ray, CT, to exclude other diseases to diagnose. Secondly, lumbar dorsal myofasciitis, lumbar dorsal myofasciitis is often caused by cold, strain, can have pain in the back after waking up or when waking up in the morning, and can also have pain aggravated after bending over and holding things and sitting for a long time, then early physical examination, early diagnosis, early physical therapy and oral medication. Third, rheumatoid, when rheumatoid involvement of the spine, can also have after waking up or morning back pain symptoms, then to check the lumbar spine x-ray and blood tests to diagnose. Fourth, ankylosing spondylitis, ankylosing spondylitis patients can also have back pain after waking up, often accompanied by pain in the sacroiliac joints, can be accompanied by morning stiffness, then to check the sacroiliac joints, lumbar spine X-rays and blood tests to diagnose and treat.