The 75 years old male patient known case of old CVA fully recovered with hypertension and diabetes. Since several years with severe osteoarthritis bilateral does not want to take allopathy medicines. For pain, blood pressure was controlled with 7.5mg of amlodepine and 20mg of telmisartan. Because of knee pain, his blood pressure shoots up to 210/98.

Physiotherapy does not relieve. Pain, How to manage this hypertension, The problem is if you add any medicines his blood pressure. Will get controlled but the moment his pain reduces the added effect of antihypertensives brings. His BP further down, when he is free from the pain his bp remains 140/80.