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.
The cortisone starts working in about 5 to 7 days and its effect can last for several days to many months. How many injections do I need to have? If the ï¬rst injection does not relieve your symptoms in about a week to two weeks, you may be recommended to have one more injection.he cortisone starts working in about 5 to 7 days and its effect can last for several days to many months. How many injections do I need to have? If the ï¬rst injection does not relieve your symptoms in about a week to two weeks, you may be recommended to have one more injection.