Lower back pain while sleeping needs to be alert to trauma, lumbar spine disease, lumbar muscle strain, ankylosing spondylitis, urological diseases and pelvic inflammatory disease. 1. Trauma: lumbar trauma can cause local muscle and other soft tissue injuries, and in severe cases, it may cause lumbar spine fractures. If you have pain while sleeping, it is recommended to go to the hospital for radiography or CT examination. 2. Lumbar spine disease: there are lumbar disc herniation, spinal stenosis, lumbar spondylolisthesis and other diseases that compress the spinal cord nerve trunks, and lumbar pain will also occur at night during sleep. 3. Lumbar muscle strain: lumbar fasciitis, muscle strain with aseptic inflammation, there will be obvious pain symptoms at night when you sleep. 4. Ankylosing spondylitis: when ankylosing spondylitis develops, the symptoms of lumbar pain may also occur. 5. Urological diseases: such as urinary stones, kidney tumors, etc. can also cause back pain radiologically. 6. Pelvic inflammatory disease: female patients, pelvic inflammatory adnexitis can also cause back pain radiating. Diseases that cause pain in the lower back while sleeping also include lumbar spine tumors and herpes zoster, etc. If there are symptoms of pain in the lower back while sleeping at night, it is recommended that patients go to the hospital to improve the examination and receive regular treatment.