Back pain after waking up in the morning can be caused by the following reasons: first, myofasciitis of the back, myofasciitis of the back is often caused by cold, strain, can appear back pain, especially after waking up back pain is very significant, this time to early examination and examination, to exclude other diseases to diagnose. Second, rheumatoid diseases, when rheumatoid involvement of the spine, there can be back pain in the spine, often with symptoms of stiffness after waking up, then early blood tests and X-ray of the spine, CT to early diagnosis and treatment. Third, ankylosing spondylitis, ankylosing spondylitis can involve the entire spine, can have back pain after waking up in the morning or after sleeping, can have morning stiffness, can be accompanied by pain in the sacroiliac joint, this time to test the blood and take X-rays of the sacroiliac joint, lumbar spine X-rays for early diagnosis and treatment.