Back pain while sleeping is usually seen for the following reasons: 1. The most common is due to prolonged head-down work, or bending over for heavy physical labor, resulting in muscle strain and inflammation of the muscles of the low back, which in turn causes pain. The pain is mainly manifested as widespread soreness and distension in the lumbar back, and pain is induced when the lumbar spine is active. Patients often experience increased pain when sleeping at night, especially in the latter half of the night, and may not be able to sleep because of the pain, which can be relieved when changing the position, and can be induced when pressing with the hand, but will feel comfortable when tapping with the hand instead. You should ensure sufficient rest and strengthen the functional exercise of the lumbar back muscles. Actively improve the relevant examination to clarify the diagnosis, and then choose the appropriate treatment plan.