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.he injection might cause the fatty tissue around the injection site to look sunken, but this side effect is only temporary. Because of the risk of complications, and the side effects of cortisone, there is usually a limit to the number of cortisone shots that can be administered safely.