Waking up in the morning with severe lumbar pain after getting up to relieve, may be related to lumbar muscle strain, may also be due to lumbar dorsal myofasciitis, ankylosing spondylitis and other reasons. 1. Lumbar muscle strain: If there is a lumbar muscle strain disease, due to the lumbar fascia, muscles and other soft tissues produce chronic injury, resulting in local inflammatory changes, it will cause low back pain. Especially after a night’s rest, no activity for a long time, you may wake up in the morning lumbar pain, get up and get up after appropriate activities to relieve. 2. Lumbar dorsal myofasciitis: the disease is usually due to a long time in the wet, cold environment, or lumbar muscles caused by chronic strain. Due to local inflammation stimulation, can cause lumbar pain symptoms. Especially when waking up in the morning, due to the relatively low temperature, if there is no warmth, it may cause muscle spasm, resulting in increased morning back pain, which can be gradually relieved after getting up. 3. Ankylosing spondylitis: the disease is a chronic inflammatory disease, can violate the patient’s sacroiliac joints, spine and other parts of the joints can be damaged, thus causing low back pain symptoms, especially in the morning or after sitting for a long time, the symptoms of low back pain is more pronounced, appropriate activities are conducive to relief. Waking up in the morning with severe lumbar pain after getting up to relieve, if the symptoms persist, you should seek medical attention as soon as possible, diagnose the cause, give targeted treatment.