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.
@turkay1-- It can take some time for cortisone injections to become fully effective and the pain relief will usually last for months, even up to a year. It took my injection about three weeks to show its effects and I had pain relief from the fourth week on. It's been five months and I'm still pain free.