Lower back painis the most common throw in ofmusculoskeletalpain.

While most people have morning back pain occasionally, some people experience chronic pain.

If you experience any of these, you are more likely to awaken to back pain.

Person sitting on bed with low back pain, with and on low back

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When you are ready to get out of bed, move slowly to the edge of the bed.

Overexercising

If you are regularly exercising and stretching, your back pain and stiffness can improve.

However, if you do too much during the day, you might wake up with back pain.

Pregnancy

It is not unusual to experience back pain while pregnant.

Disc Degeneration

Disc degenerationrefers to changes in the spinal discs leading to back pain.

It happens over time due to aging, injuries, and daily activities that strain the spinal discs.

Back pain from fibromyalgia can be felt deep and may include achiness, stiffness, and tenderness.

It is not unusual to wake up to back pain and stiffness in the morning if you have fibromyalgia.

People with OA often havemechanical back painthat worsens with bending and twisting.

RA is anautoimmune diseasethat develops because the immune system malfunctions and attacks healthy tissuesmainly the synovial linings of joints.

It may cause you to wake up feeling sore and stiff in your lower back.

Symptoms may resolve with movement, but if there is inflammation, the pain may not resolve without treatment.

Like RA, AS is an autoimmune disease.

Your healthcare provider can recommend exercises and treatments to manage and reduce pain.

With this stretch, you grab your knees and pull them into your chest.

While wrapping your arms around your knees, gently rock from side to side.

Or you might do a basic stretch lying on your back and stretching your arms above your head.

Stretch your arms and hands as far as possible, and hold for a few seconds.

Repeat two to three times.

Do the same with your legs and feet.

To do this exercise, get facedown on the floor.

Push yourself up onto your forearms and toes.

Keep your elbows under your shoulders and your forearms and elbows aligned with your wrists.

While looking down, keep your neck aligned with your spine.

You’ll want to keep your spine straight without your stomach sinking down or up.

Hold the pose for at least 30 seconds.

Complete two to three sets.

The mini-cobra, for example, is a basic yoga pose that can help without overstretching the lower back.

The elbows and forearms should also be in line with your palms.

Slowly push your palms and forearms to lift your chest upward as if about to do a push-up.

Keep your head forward and your head straight.

Hold the pose for at least ten seconds and repeat up to five times.

Knee Bends

Stretching your knees and glutes might help relieve your back pain.

you’re free to do this with an exercise called knee bends.

To do a knee band, you squat as if trying to sit in a chair.

Keep your knees bent at 90 degrees.

Exhale as you squat down, and inhale as you come back up.

Do up to 10 repetitions.

double-check your office chair is supportive.

Adding apillowor towel rolled behind your back might offer further back support.

Ice can numb pain and reduce inflammation.

Apply heat for 20 minutes up to three times a day.

it’s possible for you to also alternate between ice and heat.

Apply one therapy for 20 minutes and wait a few hours to use the second therapy.

it’s possible for you to manage inflammation and loosen stiff muscles by rotating heat and cold.

NSAIDs can help relieve inflammation and pain, while Tylenol can help manage mechanical back pain.

Topical Remedies

Topical pain relief medicinesare an option for managing back pain.

These products are available as creams, lotions, gels, and patches you apply to the skin.

They can determine if your back pain is mechanical or related to an underlying condition.

Your healthcare provider can recommend OTC pain-relief options and prescribe stronger pain relievers when needed.

They may also prescribe a muscle relaxant to ease tight muscles and back pain.

This is because to manage back pain, you will need to manage the underlying cause.

There is no cure for these conditions, but they are treatable and manageable.

A variety of medicines are available tomanage the symptoms of fibromyalgia.

Antidepressants and anticonvulsants can treat severe fibromyalgia pain and fatigue.

Physical therapy and gentle exercise can help you to manage symptoms.

Because RA and AS are both autoimmune diseases, they are treated similarly.

AS is also treated with biologic DMARDs.

Summary

A good night’s sleep is crucial for your overall health and well-being.

But your sleep might be interrupted or unrefreshed if you wake up to back pain.

Causes of morning lower back pain include sleep position, overactivity, or an old, uncomfortable mattress.

Back can also result from a health condition like disc disease, fibromyalgia, or arthritis.

Managing your lower back pain can help you to sleep better and reduce future episodes of back pain.

Back pain resulting from an underlying health condition might require you to contact your healthcare provider.

They can examine your back and request tests to determine the cause of symptoms.

A case-crossover study.Arthritis Care Res (Hoboken).

2021;16(11):e0260582.

Review of the literature.J Orthop Traumatol.

2021;22(1):51. doi:10.1186/s10195-021-00616-5

Harvard Health Publishing.Try these stretches before you get out of bed.

Loma Linda University Health.Lumbar strain (weight lifter’s back).

2017;20(4):307-318.

National Institute of Arthritis and Musclusketal and Skin Diseases.Ankylosing spondylitis basics: overview, symptoms, and causes.

Sleep Foundation.Best sleeping positions.

2023;23(1):830. doi:10.1186/s12884-023-06151-x

Centers for Disease Control and Prevention.Osteoarthritis.

Will JS, Bury DC, Miller JA.Mechanical low back pain.Am Fam Physician.

2018;98(7):421-428.

2016;4(2).

doi:10.3390/healthcare4020022

Harvard Health Publishing.Straight talk on planking.

National Institutes of Health.Yoga eases moderate to severe chronic low back pain.

2022;54:jrm00258.