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.
Heat treatments are not applied until a few days after a cortisone shot to avoid increased risk of a flare reaction. Range of motion exercises are prescribed to increase movement of the shoulder joint.Manual stretching is performed by the therapist to improve joint flexibility.mmediate Care. Cortisone shots can cause a flare reaction in the first 24 to 48 hours. This can be caused by the body responding to the needle injury or from small crystals that form in the injected tissue.