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.
A cortisone shot starts to work very quickly once injected, and most people find that relief begins within 48 to 72 hours.The duration is only 30-36 hours and is excreted in the urine or stool. Take care and regards. Cortisone injections are not the same form of illegal steroids used in the sports arena.