Waking up with back pain may be related to cold, poor sleeping posture, back fasciitis and so on. 1. Cold: not paying attention to the warmth of the back when sleeping, resulting in the back of the cold, muscle spasms caused by the phenomenon of aches and pains. 2. Poor sleeping posture: Sleeping in an unreasonable position, or soft beds, will lead to excessive pulling of the back muscles, resulting in strain, which will lead to soreness in the back area. 3. Back fasciitis: prolonged overwork, pulling and stimulation will lead to aseptic inflammation of the back fascia, mainly manifested as persistent or intermittent chronic muscle pain, soreness and weakness, which will be relieved after waking up in the morning. Back pain after waking up may have other causes, such as degenerative osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, etc. It is recommended to go to the hospital in a timely manner to improve the examination, to clarify the cause of the disease, and to carry out targeted treatment.