In the initial phase after developing back pain, relative rest is recommended.  

Complete best rest more than 1 or 2 days is generally not recommended as studies have shown that it may prolong recovery.  

Maintaining activity as tolerated is the best course.

Avoid frequent bending and twisting.  

Prolonged sitting greater than 20 minutes should also be avoided if sitting worsens the pain.  

Avoiding activity that significantly worsens pain, while continuing activity that is not as bothersome, may be the best strategy while one recovers from an injury.  

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