Causes of high blood pressure neck pain are vascular wall tension, sympathetic cervical spondylosis, atherosclerosis and so on. 1. Tension of blood vessel wall: in physiological anatomy, there is a common carotid blood vessel in the neck, when blood pressure rises, the pressure on the wall of the common carotid artery will rise, resulting in tension of the blood vessel wall, or even spasm, releasing inflammatory mediators to stimulate the neck of the fascia and muscles of the neck to appear neck pain. 2. Sympathetic nervous type cervical spondylosis: patients suffering from this disease due to cervical vertebral osteophytes will constantly stimulate the sympathetic nerves passing through the vertebral body, and sympathetic nerve excitation will produce media to stimulate the blood vessels, blood vessels are stimulated by the constriction of blood vessels, resulting in increased blood pressure. Thus, the symptoms mentioned above are manifested. 3. Atherosclerosis: long-term hypertensive patients due to the blood flow in the blood vessels faster, the impact on the blood vessel wall is too easy to damage the blood vessel wall caused by lipid molecule deposition, resulting in atherosclerosis, narrowing of the arteries, and thus will be high blood pressure and neck pain, headache and body discomfort and other symptoms. If the patient’s blood pressure is elevated neck pain, it is recommended to go to the hospital as soon as possible to consult a doctor to clarify the cause of the disease and timely treatment.