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.
The local side effects of a cortisone injection are also rare, but again, they do occur and you should know what to do if they happen to you! 1  Pain and âCortisone Flare Reaction. Some patients have discomfort after the injection and may experience an increase in pain 24 to 48 hours after being treated. 2  Infection.