See PM MD ASAP: Low back pain only at night is a red flag. This could mean something serious is going on. Please see your family md or pain management md asap and get a lumbar x-ray. Assuming nothing more serious, this is likely mechanical low back pain (from loading hte low back all day), and a pain management physician could make a specific diagnosis in many cases after the approriate workup.
Answered 9/29/2016
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