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.
This is due to the cortisone crystallizing. The cortisone flare usually only lasts a day or two after the shot is administered and can be treated by icing the area of the shot. It is also common for the area around the shot to whiten in appearance. More serious side effects are rare, but do occasionally occur.