If massage helps, the pain could indeed be muscular. But be aware that hypertension leads to heart disease, and the heart has many ways of warning you. Usually it is a central chest pain that indicates heart problems, but left sided neck/shoulder pain can also mean heart trouble. I d have the person be checked out by a doctor to make sure heart is ok. Good luck!
It could be sleeping posture... Try sleeping with his head more inclined than the rest of his body. Also, it could be stress? It could be his blood pressure has increased, maybe he ll need medications to reduce hypertension. Or, it could even be that he overworks that area of his body... Does he do a lot of heavy lifting?
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