Back pain after waking up may have the following causes: first, myofasciitis of the back, myofasciitis of the back is often caused by cold, strain, which can appear after waking up back pain symptoms, often soreness, then to early examination and examination to exclude other diseases to early diagnosis and treatment. Second, rheumatoid diseases, when rheumatoid involvement of the spine, can appear after waking up back pain symptoms, then to carry out blood tests and spinal x-ray, CT examination, to early diagnosis and treatment. Third, ankylosing spondylitis, patients with ankylosing spondylitis can also wake up with back pain, morning stiffness and pain in the sacroiliac joints, which should be diagnosed and treated early with blood tests and X-ray and MRI of the spine.