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.
It's been my experience that, unless they hurt like Hell, the shots miss the mark and don't work. They usually take 3 or 4 days to work and don't last long enough. I feel for you-I walked around with bone on bone for a few years-people think that if you can walk, even with a cane, it can't hurt that much.