Have severe pain in right arm, supposedly arthritis. Took a tramaol last night and put an Icey Hot patch on my right shoulder. This morning my pressure reistered 94 /57 in that arm but it was 115/64 in the other. I do my pressure every morning when I get up because of being on blood pressure medicine. The combination last night made it possible for me to sleep better. My arm didn't keep me awake.