Hello and thank you for using HCM. I carefully read your question and I understand your concern. First of all when we speak for high blood pressure we have to make a fine diagnose of its type. You should know that in medicine we divide hypertension in two types. What we call essential hypertension seen in older ages and secondary hypertension seen in younger ages. In fact, according to your young age the fundamental thing is to exclude the secondary causes of hypertension.This secondary causes might be: problems with adrenal gland,problems of the artery supplying the kidneys,cardiovascular anomalies that manifest with high blood pressure values in younger ages. We talk about high pressure if we have mean values above 140/80. These can be the cause of your head or neck pain. So, if I was your treating doctor first of all Id like to be sure that we do have hypertension. So I will recommend you to monitor it or to have a blood pressure holter monitoring for 24 h to have a good graphic of your values during all day. A simple value its not enought. After that of course i will recommend an electrocardiogram, a cardiac echo-graphy and a full blood test analyses to check for problems of adrenal gland. According to the results than we can decide for further examinations for renal arteries. In my opinion, as you are very young its essential to exclude the secondary causes of hypertension. If we find the cause than we can treat it and avoid hypertension. Reducing your cholesterol and your weight might improve your blood pressure values. Knowing the cause can help us to know how to treat the hypertension. Hope I was helpful. Wish you good health. Best regards.