Hello! Welcome and thank you for asking on HCM! I understand your concern, and would explain that her high blood pressure doesn t seem to be related to her lumbar spine disorder. They are two different disorders, which need to be treated properly. Regarding high blood pressure, I recommend to closely monitor her blood pressure different times during the day and refer these values to her GP. She needs to perform a careful physical examination, a resting ECG, a chest x ray and some blood lab tests ( complete blood count, thyroid hormone levels, blood electrolytes, kidney and liver function tests, fasting glucose, etc.), to exclude other secondary causes of high blood pressure. You need to discuss with her doctor, about the possibility of starting and antihyperstensive therapy (or make changes to her actual therapy, if she is being treated for high blood pressure). From the other hand, you need to consult with a neurosurgeon for her lumbar disc displacement, to consider the possibility of surgery to solve this health problem. Meanwhile, I would recommend just acetaminophen or ibuprofen for the pain. Opioids can be helpful. I would not recommend other steroids or non-steroids anti inflammatory drugs, as they all can raise her blood pressure as a common adverse effect. Hope to have been helpful! Best regards, Dr. Iliri