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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Excruciating Pain In Neck Due To Injury At Work. History Of Having Pain Due To ME/CFS. Normal BP. Explain Why BP Was Not Elevated During Pain

Hi, I was injured at work and had excruciating neck pain and an ambulance was called. The paramedic said he was surprised that my BP was so low (normal) as I was in a lot of pain. I do suffer a lot of daily pain due to ME/CFS and I want to know if coping with that daily pain would allow my body/BP to 'ignore' the pain sustained in the accident and therefore not raise my BP?
Thank you.
Thu, 5 Sep 2013
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General & Family Physician,  's  Response
Hi and thanks for the query,

Blood pressure for sure is expected to rise during situations of stress. Pain after the incident in your case of course is a stressor. However, its not in all cases that stress is accompanied by an increase in blood pressure. Some persons are so efficient in the management or regulation of blood pressure during the stress events, by either limiting secretion of the amount of main stress hormones, adrenaline and steroids, or rapid stopping and reversing of the stimulation of the sympathetic nervous system responsible for the secretion of these hormones. It is therefore not very unusual.

Kind regards,

Bain LE, MD
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Excruciating Pain In Neck Due To Injury At Work. History Of Having Pain Due To ME/CFS. Normal BP. Explain Why BP Was Not Elevated During Pain

Hi and thanks for the query, Blood pressure for sure is expected to rise during situations of stress. Pain after the incident in your case of course is a stressor. However, its not in all cases that stress is accompanied by an increase in blood pressure. Some persons are so efficient in the management or regulation of blood pressure during the stress events, by either limiting secretion of the amount of main stress hormones, adrenaline and steroids, or rapid stopping and reversing of the stimulation of the sympathetic nervous system responsible for the secretion of these hormones. It is therefore not very unusual. Kind regards, Bain LE, MD