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.
Once the inflammation subsides, pain relief follows. Cortisone starts to work immediately following the injection, and inflammation usually begins to subside within a few days. Depending on how quickly the inflammation subsides, the timing of pain relief can vary from a few days to a few weeks.