Waking up in the morning with back pain focuses on the need to check the following aspects: First, the muscle pain caused by strained or sprained muscles in the lower back, this pain is generally limited to the waist, and rarely radiates to other parts; Second, the nerve root radiating pain caused by compression of the lumbar nerve roots due to herniated discs, spinal stenosis, or tumors in the spinal canal, this pain generally radiates to the lower limbs on one side or both; Third, the lower back pain caused by urologic stones such as kidney stones, ureteral stones, etc., this pain mostly radiates to the groin; Fourth, other rare causes such as spinal tuberculosis, blood diseases, etc. caused pain. Thirdly, urinary stones, such as kidney stones, ureteral stones and other causes of low back pain, this pain will mostly radiate to the groin; Fourthly, other rare causes, such as spinal tuberculosis, blood diseases and other causes of pain. If the patient’s pain is not relieved, he or she should consult a doctor in time to improve the lumbar spine X-ray, CT or MRI examination to clarify.