Women who sleep with back pain and get up without pain are usually caused by lumbar muscle strain, lumbar disc herniation, pelvic inflammatory disease, urinary stones and other diseases, and a few are caused by other diseases such as lumbar spine tumors and osteoporosis. If you can’t distinguish yourself, it is recommended to go to a regular hospital for a clear diagnosis.1. Lumbar muscle strain: mostly caused by incorrect sitting posture, frequent bending and weight bearing, etc., chronic strain of soft tissues such as fasciitis of the low back may occur. Sleeping at night on the back muscles squeeze larger, there may be local blood circulation disorders, resulting in back pain at night sleep, after getting up muscle relaxation, not squeezed, so the pain relief. The pain is mostly soreness and swelling, and may radiate to the hip. Treatment is mainly local hot compresses, massage, acupuncture, physiotherapy, etc. If necessary, you can apply topical anti-inflammatory and pain-relieving drugs, such as diclofenac diethylamine emulsion, etc.; 2. Lumbar disc herniation: related to lumbar disc degeneration, injury, pregnancy and other factors, the herniated disc can compress the nerve roots of the dural sac of the spinal cord, producing pain in the low back. Since the nerve roots are severely compressed by the compression when sleeping, there will be obvious back pain when sleeping; when the position changes after getting up, the nerve root compression may be reduced, resulting in no pain when getting up. There can also be lower limb pain, numbness, weakness and other symptoms, which can be treated with drugs, such as Dan Lu Tong Du tablets, etc.; 3, pelvic inflammatory disease: related to factors such as infection of the reproductive tract, the spread of inflammation in neighboring organs, etc. When pelvic effusion occurs, it can stimulate the pelvic peritoneum causing low back pain, and the low back pain will be more sensitive due to the position and other reasons when sleeping, and after getting up and moving, the inflammatory stimulation is not concentrated, so there will be no pain when getting up When sleeping, the stone may be stuck in the ureter and cause pain in the lower back. When the position changes after getting up, the pressure is reduced and the pain disappears, resulting in back pain when sleeping and no pain when getting up, accompanied by frequent urination, painful urination and hematuria. The main treatment is lithotripsy treatment, usually need to drink more water and exercise; 5, other diseases: such as lumbar spine tumor, osteoporosis, etc., part of the lumbar spine tumor is resting pain, that is, pain when resting in bed, get up after activity does not hurt, treatment is mainly early surgical removal treatment. Osteoporosis can also cause pain in the lumbar back when sleeping, and after getting up and moving the bone metabolism is accelerated, and there is no pain in the lumbar, in terms of treatment you can supplement calcium, vitamin D and get more sunlight. In addition, daily life should improve the bad habits of work and rest, reasonable arrangement of work and rest time, usually moderate amount of exercise. If there is obvious physical discomfort, it is recommended to go to the hospital in time.