PMR/GCA since May 2015, presently treated with Prednisone 35mg, which I take with breakfast, and Acterma IV infusion monthly. I was in an auto accident January 2, 2016 and sustained a whiplash. I'm having physical therapy to help with whiplash, especially painful in upper back, neck, shoulders. Migraines and headaches have increased since auto accident. Had MRI done since accident, which was normal. Almost every morning between 3-5am, I wake up with heart pounding, sometimes severe headache, sometimes no headache. This week, I have checked my blood pressure when these symptoms occur. It is always elevated. This morning it is 177/103, pulse 90 when sitting, and 151/93 pulse 97 when standing. My primary care doctor and rheumatologist know I have orthostatic hypotension. The physical therapist encouraged me to stabilize my head with pillows before going to sleep in case I position my head in a weird position during the night. I also have TMJ, and my dentist is going to make an orthotic appliance to wear at night. Has anyone experienced an elevated blood pressure at night? Early on since I was diagnosed with PMR/GCA, I had palpitations. I had a 24 hour halter monitor which came back normal. Thanks for any suggestions or your experiences.