Hello! Welcome and thank you for asking on HCM! I understand your concern and would explain that a comprehensive differential diagnosis should be done to differentiate between different causes of this clinical scenario: - a backbone disorder. It could lead to pain in the back and shoulders, and high blood pressure due to the physical stress. - an aortic dissection could lead to this clinical scenario - anxiety could also cause similar symptoms. I recommend going to the ER for a careful physical exam and some tests: - a resting ECG and cardiac ultrasound - a chest X ray study - a cervic-thoracic column X ray study - some blood lab tests ( CPK for possible myalgia, a complete blood count, inflammation tests). You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Kind regards, Dr. Iliri