SQL Server Management Studio 2008 has been around for a little while now, but I still hear loads of people complaining that intellisense does not update often enough (or at all in some cases). This is pretty frustrating. I should know, I battled with this until I found the Intellisense menu and the shortcut keys.
Go to the SSMS Menu and click on Edit:
Now click on Intellisense> to view the Intellisense options
The Refresh Local Cache will do exactly that and then you’ll be able to see those changes that you have just implemented.
The shortcut (if you are a little visually impaired) is Ctrl + Shift + R
Now go refresh your cache.