Thanks for contacting healthcare magic. You have problem of muscle pain at arm and wrist That is not because of high blood pressure. High blood pressure can cause pain at chest not at wrist area. Check your blood pressue regularly. Pain at wrist and arm may be because of nerve compression problem. Muscle strain cause pain also. Heart attack cause reffered pain at left shoulder area. Try to maintain high blood pressure. Take low salt meal and low fatty foods. Do regular exercise per day. Avoid junk foods and oily foods. Use law fatty oil like sunflower oil. Consent a physician for further diagnosis. I hope my guidance is helpful to you. Take care. Thank you very much.