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.
Some of the side effects that have been reported with steroid injections include the following: Cortisone flares can occur which involve pain that can be worse after the injection than before the shot. This usually improves within 12 to 48 hours. In dark-skinned patients, the area around the injection site can whiten.