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.
Depending on how quickly the inflammation subsides, timing of pain relief can vary from a few days to a few weeks. If the inflammation is severe, or if the inflammation has been around a long time (chronic), the cortisone injection may take longer to take effect and may require more than one injection.