 [ Symptoms ] can chronic pain play a role in high blood pressure  i have infused vertebrae in my neck that causes chronic pain and i am not on any pain medications except over the counter medications such as motrin i am experiencing elevated blood pressure [ Disease ] have you tried antibiotics initially what are they antibiotics should be tried before initiating ivig or other immunomodulatory therapy prophylactic antibiotics are often useful in the management of pandas as they help to prevent strep triggered exacerbations cognitive behavior therapy should be started as soon you can if you were diagnosed with any type of associated psychological disorder