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 effect of the cortisone, which is to reduce swelling and provide pain relief may take 24-48 hours to take effect. The duration of action of cortisone is very variable but it usually works for about 1-2 months . Often by that time the problem which caused the irritation around the tendon or joint has resolved.