Back pain when sleeping can be caused by the following reasons: first, lumbar back fasciitis and lumbar muscle strain, these two diseases are often caused by cold or strain, can have symptoms of back pain when waking up in the morning, then early examination and examination to exclude other diseases to diagnose. Secondly, rheumatoid, when rheumatoid involvement of the spine, can have the symptoms of lumbar pain in the morning, it is necessary to early blood tests and X-ray, CT of the spine to early diagnosis. Third, ankylosing spondylitis, ankylosing spondylitis patients can also have morning lumbar pain, accompanied by pain in the sacroiliac joint, then we should check the blood tests and take X-rays of the sacroiliac joint, lumbar spine X-rays for early diagnosis. Fourth, kidney deficiency, when the kidney deficiency can also have the symptoms of lumbar pain in the morning, can be accompanied by weakness of the knees, fatigue and tiredness, then we should go to the Chinese medicine department to take a pulse to diagnose, after the diagnosis should be oral kidney medicine treatment.