1) Inflammation in the back
Sometimes inflammation in the tissues of back occurs due to autoimmune causes, which is a serious problem that needs attention.
2) Inflammaging
It is the process of a slow and steady rise in the inflammatory processes with the advancing age.
3) Myofascial Pain Syndrome
It is also known as fibromyalgia, which is an emerging cause of middle back pain in the morning.
4) Awkward Sleeping Posture
Having a poor sleeping posture is perhaps the most common and well-established cause of waking up with severe back pain and discomfort. This happens so because repeated pressure is exerted to the vertebral column, especially if you have a tendency of sleeping on your side.
If you’re a side sleeper, the back muscles and ligaments have to work more to stabilize the vertebral column.
You may try other sleeping positions, although it is best to avoid having to sleep on your stomach, as this can impact your sleep quality, lead to aches and pains, as well as other issues.

5) Obesity
Studies show that there is a positive correlation between extra weight and back pain.
6) Muscle sprains and strains
Heavy weight-lifting practices without using proper techniques the day before the pain occurs easily causes spraining or straining to the back.
7) Herniated discs
When the inner jelly-like material of a disc comes out of the outer ring, this condition is termed as disc herniation.
8) Osteoarthritis
It is a degenerative disease where the cartilages adjacent to the joints break down due to wear and tear. Bones lose their coverings and rub against each other.
9) Aging
Older persons are more prone to suffer from back pain because the changes that occur due to wear and tear in the joints and cartilages, which are aggravated with advancing age.
10) Injuries
The thoracic region is quite rigid and structured so there are less chances of injury to the mid-region of the back, but it is still possible.
11) Degenerative Disc Disease
This medical condition usually occurs due to age-related wear and tear (degeneration), as the name suggests, as well as long periods of physical stress that is placed on the spinal discs.
Symptoms of Middle Back Pain
Usually, the symptoms depend upon the underlying reason for the pain. Some of the most common symptoms of the middle backache are:
- Dull type of pain and discomfort below the neck
- A burning sensation in the middle back
- Sometimes sharp or stabbing pain is felt
- Tightness, pain and stiffness is felt in muscles
Apart from these, some more serious symptoms may also happen:
- Tingling sensations in the upper or lower extremities and chest
- Chest pain
- Weakness in both upper and lower limbs
- Bowel or bladder dysfunction, either continence or incontinence
Additionally, if you suffer from chronic back pain in general, but it tends to get worse in the morning, or if the pain persists, it is recommended to seek medical advice in case there could be something serious causing these symptoms.
Upon receiving a diagnosis, you may be able to choose from some of the following treatment options, that depend both on the cause of your pain, as well as intensity:
- Physical therapy
- Anti-inflammtory pain medication
- Muscle relaxants or pain relievers
- Wearing a back brace
- Surgical intervention (should only be considered as a last resort, and only for extreme cases)
Natural Treatment for Middle Back Pain in the Morning


Why spinal decompression therapy can help you wake up refreshed and pain-free
A spinal decompression device like the Backrack helps remove abnormalities in the spine caused by spinal compression, allowing you to not experience back pain.
Other Pain Management Options
Making some lifestyle adjustments can also help relieve the ocurrence of middle back pain in the morning. If this pain persists, you may also try one or more of the following adjustments to your lifestyle:
- Getting a new mattress. People often find that their mattress made their back hurt, and replacing it provided them not only relief from pain in the middle back, but also upper back pain and lower back pain relief.
- Exercising. Engaging in stretching exercises, whether they are upper, middle, or lower back stretches, this may work wonders on your spine. Stretching the entire spine can be beneficial in reducing or relieving this pain as sometimes the pain originates in a different region from where the pain is felt.
Author: Spinal Backrack