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.
Also, the cortisone crystallizes when injected and can cause worse pain than before the shot. When this happens, it is called âcortisone flare.â In most cases this lasts one to two days, and can be treated by putting ice on the injected area. Another side effect is when the injection causes your skin to whiten.