The most common cause of back pain and shoulder pain after waking up is inflammation of the fascia and muscle strain after strenuous exercise or heavy physical labor during the day. For this kind of pain, the correct treatment should be more bed rest, you can change the position in bed and find the most suitable position to reduce the pain. Heat therapy can also be applied, hot water bags or hot towels can be applied externally, and infrared therapy can be used if available. If the pain is still not relieved, you need to take oral non-steroidal anti-inflammatory and analgesic drugs, such as Xilabao capsules, Nimesulide dispersible tablets, etc.