@caroljeand

Thanks Carol for your reply.

I've taken a look at situational blood pressure issues and what seems to be mentioned predominantly is anxiety or white coat syndrome. Which I know in my case don't apply but have often been told is the reason. I've never had any sort of anxiety issues and don't fear doctors. I simply feel very unwell at times. I know I have a lot of pain in multiple places due to arthritis and after the PMR diagnosis about a year ago.

And possibly, like you, I'm wondering if part of my high blood pressure problem is caused by stress hormones reacting to pain levels. I still can't work out why my blood pressure levels can be high one time and then normal the next time when I feel deathly ill on both occasions. I I've found the following online....

"Studies have found that high blood pressure and chronic pain often coexist. Researchers dug deeper and found that persistent pain can interfere with your body’s baroreflex, its mechanism for keeping your blood pressure consistent. Pain messing with that mechanism can cause your blood pressure to rise. Other chronic pain factors can also play a role. Pain is stressful on the body, meaning it can encourage your system to release more stress hormones like cortisol and adrenaline. These can cause a blood pressure increase. Chronic pain also interferes with sleep, and insufficient sleep links directly to higher blood pressure."

I presume if you have PMR you must have some levels of pain and fatigue.

John has replied to this post and mentions an endochrinological link to his blood pressure issues that you might find interesting.

Good luck anyway. I hope things soon improve for you.