The cause of low back pain after waking up in the morning is usually due to lumbar myofibrositis. Lumbar myofibrositis is caused by chronic strain on the lumbar fascia, resulting in the development of localized sterile inflammation that causes pain. The pain symptoms are usually soreness, tingling, and dull pain. This disease is more common in clinical practice and is usually seen in people with long term manual labor and long term sedentary offices, which can lead to chronic strain on the lumbar fascia. These problems can be relieved by medication, physical therapy, and minimally invasive surgery.