Anxiety caused by environmental and external factors. Environmental factors that are known to cause several types of anxiety include: 1  Trauma from events such as abuse, victimization, or the death of a loved one. 2  Stress in a personal relationship, marriage, friendship, and divorce. 3  Stress at work. 4  Stress from school.
After spinal cortisone steroid injection, ice is recommended on 20  minutes and off 20 minutes for 24-48 hours. Heat should NOT be  applied during the first 48 hours.
After injection, corticosteroids work to reduce inflammation (heat, redness, swelling, & pain) in and around the joint. As a result you should feel less pain, swelling, stiffness and warmth and be able to function a little easier.ost injections typically take 24-48 hours to take full effect. If local anesthetic was given with the steroid injection, you may feel improvement relatively quickly. The duration of improvement varies. Some patients report months of relief whereas others find only a few days of relief.