Be careful about too much bed rest. Multiple studies show more than 2-3 days of bed rest for patients who have low back pain actually demonstrate a greater loss of range of motion and are weaker than patients who remained active as soon as possible without increasing their symptoms. Other studies demonstrate pain levels of patients are higher in persons who rested for greater than a week. My recommendations for the first 3-5 days:
(1) Sleep on side with pillow between knee and limit twisting when going from lying to sitting or standing to curving of spine
(2) Be careful about sitting for greater than 20 minutes in especially first 3-5 days
(3) Attempt to move and maintain most activities that do not increase your pain levels dramatically
(4) If allowed by your doctor take anti inflammatory medications as prescribed
(5) Ice 10-20 minutes as needed. Do not apply ice directly to skin. Avoid use of heat.
(6) If not significantly improved in 3-5 days consult a health care provider for a evaluation
When treating musculoskeletal conditions one must balance the bodies needs to heal and protect with the negative effects of lack of movement and resulting deconditioning of several systems in our body.