Back pain after waking up may be related to cold, inappropriate bed board, inappropriate sleeping position, lumbar spine disease, lumbar muscle strain and other reasons. Reasonable treatment is needed for different causes. 1. Being cold: not covering up the quilt when sleeping at night, which leads to the coldness of the lumbar region. The symptoms of lumbar pain will appear after waking up. Hot compresses and physical therapy are needed to deal with it. 2. Unsuitable bed: sleeping on too soft or too hard bed will cause the lumbar muscles not to rest and wake up lumbar pain. You can immediately change the right bed, back pain will be relieved. 3. Inappropriate sleeping posture: sleeping with the lower back bent or twisted can be due to spasm of the lower back muscles and waking up with low back pain symptoms. Diclofenac diethylamide emulsion can be used to treat the external application. 4. Lumbar spine disease: lumbar disc herniation or lumbar vertebral body slippage and other diseases will compress and stimulate the lumbar vertebrae around the muscles and soft tissues, after waking up with back pain symptoms. You can take non-steroidal anti-inflammatory drugs such as Loxoprofen orally for treatment. 5. Lumbar muscle strain: patients with lumbar muscle strain because of the lumbar activities after waking up, so that the lumbar muscle strain of the fascia and soft tissue congestion and edema, resulting in waking up with back pain. It can be treated with physical therapy and hot compresses and wearing a waist cuff. If waking up with low back pain, it is recommended that the patient go to the hospital to clarify the cause of the disease and receive regular treatment.