{"id":5525,"date":"2026-09-30T09:54:57","date_gmt":"2026-09-30T09:54:57","guid":{"rendered":"https:\/\/aliantis.es\/?p=5525"},"modified":"2026-10-01T08:28:46","modified_gmt":"2026-10-01T08:28:46","slug":"mal-desquena-realment-necessito-una-ressonancia-magnetica","status":"publish","type":"post","link":"https:\/\/aliantis.es\/ca\/2026\/09\/30\/mal-desquena-realment-necessito-una-ressonancia-magnetica\/","title":{"rendered":"Migranya i osteopatia: una mirada integrativa (sense promeses m\u00e0giques)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"5525\" class=\"elementor elementor-5525 elementor-5524\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca98701 e-flex e-con-boxed e-con e-parent\" data-id=\"ca98701\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9de4dd2 elementor-widget__width-inherit elementor-widget elementor-widget-heading\" data-id=\"9de4dd2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Migranya i osteopatia: una mirada integrativa (sense promeses m\u00e0giques)<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-14fa1d3 elementor-widget elementor-widget-text-editor\" data-id=\"14fa1d3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Quan el mal de cap va molt m\u00e9s enll\u00e0 d\u2019\u201cun simple dolor\u201d<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bed9b52 e-con-full e-flex e-con e-child\" data-id=\"bed9b52\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-6873e20 e-con-full e-flex e-con e-child\" data-id=\"6873e20\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-51cfd79 e-con-full e-flex e-con e-child\" data-id=\"51cfd79\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e56832d e-con-full e-flex e-con e-child\" data-id=\"e56832d\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e3c4d5b elementor-widget elementor-widget-text-editor\" data-id=\"e3c4d5b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Article escrit per <a href=\"https:\/\/aliantis.es\/ca\/blandine-chambonnier-osteopata-sitges\/\">Blandine Chambonnier<\/a>, oste\u00f2pata a Aliantis.<\/p><p>Blandine acompanya adults, dones embarassades i infants des d\u2019un enfocament individualitzat, utilitzant principalment t\u00e8cniques manuals suaus i adaptades a cada pacient. En aquest article comparteix la seva manera d\u2019abordar la migranya a la consulta, sempre com a complement del seguiment m\u00e8dic quan aquest \u00e9s necessari. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ce2c335 elementor-widget elementor-widget-text-editor\" data-id=\"ce2c335\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Si has arribat fins aqu\u00ed, \u00e9s probable que coneguis b\u00e9 aquesta sensaci\u00f3: un dolor pulsatiu, intoler\u00e0ncia a la llum o al soroll, n\u00e0usees i la necessitat d\u2019aturar-ho tot per buscar foscor i silenci.<\/p><p>La migranya no \u00e9s simplement un mal de cap m\u00e9s intens. \u00c9s un trastorn neurol\u00f2gic freq\u00fcent i potencialment molt incapacitant que pot afectar la feina, la vida familiar, l\u2019esport i la qualitat de vida. Tot i aix\u00f2, continua estant infradiagnosticada i infratractada en moltes persones.  <\/p><p>El meu objectiu amb aquest article \u00e9s oferir-te una visi\u00f3 clara, honesta i basada en l\u2019evid\u00e8ncia cient\u00edfica sobre qu\u00e8 \u00e9s realment la migranya, quins s\u00f3n els seus principals desencadenants, com es tracta actualment i quin lloc pot tenir una osteopatia suau dins d\u2019un enfocament integratiu.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f35d19e e-con-full e-flex e-con e-child\" data-id=\"f35d19e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ef0cd24 elementor-widget elementor-widget-text-editor\" data-id=\"ef0cd24\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">\ud83d\udca1 <span class=\"s2\"><b>Ho sabies?<\/b><\/span><\/p><p> <\/p><p>S\u2019estima que m\u00e9s de mil milions de persones viuen amb migranya arreu del m\u00f3n. \u00c9s un dels trastorns neurol\u00f2gics m\u00e9s freq\u00fcents i una de les principals causes de discapacitat en adults joves. A m\u00e9s, afecta aproximadament tres vegades m\u00e9s les dones que els homes.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-45f008e elementor-widget elementor-widget-image\" data-id=\"45f008e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/migranas-osteopatia-1024x576.webp\" class=\"attachment-large size-large wp-image-5532\" alt=\"\" srcset=\"https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/migranas-osteopatia-1024x576.webp 1024w, https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/migranas-osteopatia-300x169.webp 300w, https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/migranas-osteopatia-768x432.webp 768w, https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/migranas-osteopatia-1536x864.webp 1536w, https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/migranas-osteopatia.webp 1672w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-34e7e91 elementor-widget elementor-widget-heading\" data-id=\"34e7e91\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Quan cal consultar un metge amb prioritat?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-502589d elementor-widget elementor-widget-text-editor\" data-id=\"502589d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>La majoria de les cefalees no s\u00f3n greus, per\u00f2<a href=\"https:\/\/aliantis.es\/ca\/2026\/03\/26\/dolor-que-requereix-atencio-medica-immediata\/\"> alguns s\u00edmptomes requereixen una valoraci\u00f3 m\u00e8dica priorit\u00e0ria<\/a>, ja sigui a urg\u00e8ncies o mitjan\u00e7ant una consulta r\u00e0pida.<\/p><p>Busca atenci\u00f3 m\u00e8dica si apareix:<\/p><ul><li>Mal de cap sobtat i explosiu (\u201cel pitjor mal de cap de la teva vida\u201d).<\/li><li>Mal de cap acompanyat de s\u00edmptomes neurol\u00f2gics com debilitat, dificultat per parlar, p\u00e8rdua de visi\u00f3, confusi\u00f3 o convulsions.<\/li><li>Aura at\u00edpica, per exemple, que duri m\u00e9s d\u2019una hora o s\u2019acompanyi de debilitat, o una primera aura sense mal de cap.<\/li><li>Cefalea acompanyada de febre, rigidesa de coll, empitjorament r\u00e0pid o mal estat general.<\/li><li>Mal de cap nou despr\u00e9s d\u2019un traumatisme cranial, especialment durant els tres mesos seg\u00fcents.<\/li><li>Cefalea que progressa i empitjora durant setmanes o que canvia clarament respecte al teu patr\u00f3 habitual.<\/li><li>Mal de cap desencadenat per la tos, l\u2019esfor\u00e7 f\u00edsic o les relacions sexuals, o que empitjora clarament amb determinades postures.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-784984a elementor-widget elementor-widget-heading\" data-id=\"784984a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Qu\u00e8 passa durant una crisi de migranya?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c2d2050 elementor-widget elementor-widget-text-editor\" data-id=\"c2d2050\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Avui sabem que la migranya \u00e9s un trastorn neurol\u00f2gic complex en qu\u00e8 participen diferents mecanismes del sistema nervi\u00f3s.<\/p><p> <\/p><p>Entre aquests mecanismes destaquen l\u2019activaci\u00f3 del sistema trigeminovascular \u2014una xarxa implicada en la transmissi\u00f3 del dolor al cap i a la cara\u2014 i l\u2019alliberament de mol\u00e8cules com el CGRP (p\u00e8ptid relacionat amb el gen de la calcitonina), que t\u00e9 un paper important en el desenvolupament de la crisi.<\/p><p> <\/p><p>Aquests mecanismes ajuden a explicar per qu\u00e8, durant una migranya, l\u2019organisme pot tornar-se especialment sensible a la llum, al so, a les olors o fins i tot al moviment.<\/p><p> <\/p><p>Tamb\u00e9 expliquen per qu\u00e8 el tractament actual de la migranya no es basa en una \u00fanica intervenci\u00f3, sin\u00f3 en la combinaci\u00f3 de diversos pilars: el tractament de la crisi quan apareix, la prevenci\u00f3 quan les migranyes s\u00f3n freq\u00fcents i l\u2019educaci\u00f3 per comprendre millor la malaltia i aprendre a gestionar-la.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b4c130b elementor-widget elementor-widget-heading\" data-id=\"b4c130b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Qu\u00e8 pot desencadenar una migranya?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4aac772 elementor-widget elementor-widget-text-editor\" data-id=\"4aac772\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Moltes persones identifiquen situacions o factors que semblen afavorir l\u2019aparici\u00f3 d\u2019una crisi. Entre els m\u00e9s habituals hi ha: <\/p><ul><li><a href=\"https:\/\/aliantis.es\/ca\/2026\/04\/21\/trastorns-del-son-en-dones\/\">son<\/a> insuficient o irregular;<\/li><li>saltar-se \u00e0pats o una hidrataci\u00f3 insuficient;<\/li><li>estr\u00e8s mantingut;<\/li><li><a href=\"https:\/\/aliantis.es\/ca\/2026\/04\/21\/alimentacio-i-hormones-femenines-entendre-la-seva-relacio-en-cada-etapa-de-la-vida\/\">canvis hormonals<\/a>;<\/li><li>exc\u00e9s de <a href=\"https:\/\/aliantis.es\/ca\/2026\/08\/11\/repos-relatiu-per-que-moures-pot-ajudar-a-recuperar-se-millor\/\">pantalles<\/a> o fatiga visual;<\/li><li>mol\u00e8sties cervicals o tensi\u00f3 mandibular associada.<\/li><\/ul><p> <\/p><p>Tanmateix, \u00e9s important entendre que un desencadenant no sempre \u00e9s la causa de la migranya.<\/p><p> <\/p><p>En algunes ocasions, all\u00f2 que interpretem com un desencadenant forma part, en realitat, de la fase premonit\u00f2ria de la crisi.<\/p><p> <\/p><p>Per exemple, una persona pot sentir cansament, canvis en la gana, tensi\u00f3 cervical o dificultat per concentrar-se hores abans que aparegui el dolor. Aquests s\u00edmptomes no necess\u00e0riament han provocat la migranya: poden ser un senyal que el proc\u00e9s ja ha comen\u00e7at. <\/p><p> <\/p><p>Per exemple, una persona pot sentir cansament, canvis en la gana, tensi\u00f3 cervical o dificultat per concentrar-se hores abans que aparegui el dolor. Aquests s\u00edmptomes no necess\u00e0riament han provocat la migranya: poden ser un senyal que el proc\u00e9s ja ha comen\u00e7at.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3443f2f e-con-full e-flex e-con e-child\" data-id=\"3443f2f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-55c9a18 elementor-widget elementor-widget-text-editor\" data-id=\"55c9a18\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">\ud83c\udfc3\u200d\u2640\ufe0f <span class=\"s2\"><b>A la pr\u00e0ctica<\/b><\/span><\/p><p> <\/p><p>Moltes persones arriben a la consulta conven\u00e7udes que hi ha un \u00fanic desencadenant de les seves migranyes. Tanmateix, sovint hi intervenen diversos factors alhora. Dormir poc, acumular estr\u00e8s durant diversos dies o passar moltes hores davant de l\u2019ordinador poden coincidir al voltant d\u2019una crisi.  <\/p><p>Comprendre aquests patrons pot ajudar a gestionar la migranya amb menys incertesa i sense convertir la recerca de desencadenants en una font addicional de preocupaci\u00f3.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-83ae57d elementor-widget elementor-widget-heading\" data-id=\"83ae57d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Qu\u00e8 pot aportar l\u2019osteopatia?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-19c2074 elementor-widget elementor-widget-text-editor\" data-id=\"19c2074\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>L\u2019<a href=\"https:\/\/aliantis.es\/ca\/osteopatia-general-a-sitges\/\">osteopatia<\/a> no cura la migranya. El m\u00e9s honest \u00e9s parlar d\u2019un acompanyament complementari, amb objectius clars i realistes. <\/p><p>En persones amb migranya, el tractament manual pot orientar-se a:<\/p><ul><li>disminuir les mol\u00e8sties musculoesquel\u00e8tiques associades al coll, la base del crani o la mand\u00edbula;<\/li><li>millorar la mobilitat i el confort en el dia a dia;<\/li><li>afavorir la relaxaci\u00f3 i el descans;<\/li><li>acompanyar la incorporaci\u00f3 d\u2019h\u00e0bits i estrat\u00e8gies preventives;<\/li><li>formar part d\u2019un abordatge multidisciplinari, en coordinaci\u00f3 amb el seguiment m\u00e8dic quan sigui necessari.<\/li><\/ul><p>Cada persona \u00e9s diferent. Algunes experimenten una millora principalment de les mol\u00e8sties cervicals o mandibulars; d\u2019altres valoren especialment la sensaci\u00f3 de relaxaci\u00f3 o una millor toler\u00e0ncia al moviment. <\/p><p> <\/p><p>Per aix\u00f2, els objectius de la consulta s\u2019adapten sempre a la situaci\u00f3 i a les necessitats de cada pacient.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d99f7e elementor-widget elementor-widget-heading\" data-id=\"4d99f7e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">I les manipulacions cervicals?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-17e3c10 elementor-widget elementor-widget-text-editor\" data-id=\"17e3c10\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">En la meva pr\u00e0ctica no realitzo manipulacions cervicals d\u2019alta velocitat (HVLA o thrust).<\/p><p> <\/p><p class=\"p1\">L\u2019evid\u00e8ncia disponible no permet demostrar que les manipulacions vertebrals siguin un tractament efica\u00e7 per a la migranya. Una revisi\u00f3 sistem\u00e0tica publicada el 2024 va trobar una evid\u00e8ncia de certesa molt baixa i una freq\u00fc\u00e8ncia m\u00e9s elevada d\u2019efectes adversos en els estudis que les van avaluar. <\/p><p> <\/p><p class=\"p1\">Per aquest motiu, prefereixo un abordatge manual suau, adaptat a cada persona i integrat dins d\u2019una atenci\u00f3 global.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bf40ae1 elementor-widget elementor-widget-heading\" data-id=\"bf40ae1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">En qu\u00e8 se centra el meu abordatge a la consulta?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6e56125 elementor-widget elementor-widget-heading\" data-id=\"6e56125\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Base del crani i regi\u00f3 suboccipital<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d100e92 elementor-widget elementor-widget-text-editor\" data-id=\"d100e92\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Moltes persones amb migranya presenten mol\u00e8sties cervicals associades.<\/p><p> <\/p><p>L\u2019objectiu del tractament \u00e9s disminuir la tensi\u00f3, la hipersensibilitat i la rigidesa d\u2019aquesta regi\u00f3, afavorint una millor toler\u00e0ncia del coll durant les activitats quotidianes.<\/p><p> <\/p><p>Aix\u00f2 no significa que la migranya \u201cvingui del coll\u201d. La migranya \u00e9s un trastorn neurol\u00f2gic. Tanmateix, el component cervical pot coexistir-hi i contribuir al malestar d\u2019algunes persones, per la qual cosa t\u00e9 sentit avaluar-lo i tractar-lo quan \u00e9s present.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1badc80 elementor-widget elementor-widget-heading\" data-id=\"1badc80\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Articulaci\u00f3 temporomandibular (ATM) i musculatura masticat\u00f2ria<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-662dfcc elementor-widget elementor-widget-text-editor\" data-id=\"662dfcc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>El <a href=\"https:\/\/aliantis.es\/ca\/2026\/04\/21\/bruxisme-quan-la-mandibula-no-es-relaxa\/\">bruxisme<\/a>, la tensi\u00f3 mandibular, el dolor en mastegar o els espetecs de la mand\u00edbula poden estar presents en alguns pacients amb migranya.<\/p><p> <\/p><p>Quan aix\u00f2 passa, el tractament pot incloure un treball suau sobre la mobilitat i els teixits de la regi\u00f3 mandibular, acompanyat d\u2019educaci\u00f3 sobre h\u00e0bits, posici\u00f3 de rep\u00f2s de la mand\u00edbula i estrat\u00e8gies senzilles per disminuir la sobrec\u00e0rrega.<\/p><p> <\/p><p>Si \u00e9s necessari, aquest abordatge es complementa amb la coordinaci\u00f3 amb odontologia o altres professionals sanitaris.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-45a7708 elementor-widget elementor-widget-heading\" data-id=\"45a7708\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Respiraci\u00f3, diafragma i relaxaci\u00f3<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-154141f elementor-widget elementor-widget-text-editor\" data-id=\"154141f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Durant per\u00edodes d\u2019estr\u00e8s o dolor persistent \u00e9s freq\u00fcent que aparegui una major tensi\u00f3 muscular i canvis en el patr\u00f3 respiratori.<\/p><p> <\/p><p>En aquests casos, una part del tractament pot orientar-se a afavorir una respiraci\u00f3 m\u00e9s c\u00f2moda i una millor mobilitat de la caixa tor\u00e0cica, utilitzant t\u00e8cniques manuals suaus i exercicis respiratoris senzills.<\/p><p> <\/p><p>L\u2019objectiu no \u00e9s \u201cregular\u201d o \u201creiniciar\u201d directament el sistema nervi\u00f3s, sin\u00f3 crear un context que faciliti la relaxaci\u00f3, el confort i la recuperaci\u00f3.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a49c3be elementor-widget elementor-widget-heading\" data-id=\"a49c3be\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">T\u00e8cniques cranials, quan escau<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5863458 elementor-widget elementor-widget-text-editor\" data-id=\"5863458\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Quan utilitzo t\u00e8cniques cranials, ho faig des d\u2019un enfocament molt suau i centrat en el confort del pacient.<\/p><p> <\/p><p>No busquen \u201crecol\u00b7locar ossos\u201d ni modificar el moviment dels ossos del crani, sin\u00f3 oferir un tractament manual de baixa intensitat que algunes persones troben agradable i relaxant.<\/p><p> <\/p><p>Aquestes t\u00e8cniques formen part d\u2019un abordatge molt m\u00e9s ampli, que inclou educaci\u00f3, <a href=\"https:\/\/aliantis.es\/ca\/2026\/04\/20\/canviar-els-teus-habits-de-vida\/\">h\u00e0bits de vida<\/a>, moviment i, quan correspon, seguiment m\u00e8dic.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-72d2c4c e-con-full e-flex e-con e-child\" data-id=\"72d2c4c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a7e0ce8 elementor-widget elementor-widget-text-editor\" data-id=\"a7e0ce8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">\ud83d\udca1 <b>Idea equivocada<\/b><\/p><p> <\/p><p><b>\u201cSi tinc migranya, segur que tinc una v\u00e8rtebra cervical bloquejada.\u201d<\/b><\/p><p> <\/p><p>Avui sabem que la migranya no es deu a una v\u00e8rtebra despla\u00e7ada ni a un os \u201cfora de lloc\u201d. Tot i que algunes persones presenten mol\u00e8sties al coll o a la mand\u00edbula, aquestes troballes no expliquen per si soles l\u2019aparici\u00f3 d\u2019una migranya. <\/p><p>El tractament manual pot ajudar a millorar el confort d\u2019aquestes regions quan hi ha s\u00edmptomes associats, per\u00f2 no pret\u00e9n corregir una suposada \u201ccausa mec\u00e0nica\u201d de la migranya.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-46b19e9 elementor-widget elementor-widget-heading\" data-id=\"46b19e9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Qu\u00e8 et pot ajudar a gestionar millor la migranya?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6dbffad elementor-widget elementor-widget-text-editor\" data-id=\"6dbffad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tLa migranya acostuma a beneficiar-se d\u2019un abordatge global, adaptat a les necessitats de cada persona. No existeix una \u00fanica soluci\u00f3 que funcioni per a tothom. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39e84ea elementor-widget elementor-widget-heading\" data-id=\"39e84ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Portar un diari de migranya<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f855a15 elementor-widget elementor-widget-text-editor\" data-id=\"f855a15\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Registrar la freq\u00fc\u00e8ncia de les crisis, la seva durada, els s\u00edmptomes associats, els possibles desencadenants i la medicaci\u00f3 utilitzada pot ser de gran ajuda.<\/p><p>M\u00e9s que buscar una \u00fanica causa, el diari permet identificar patrons i valorar si les estrat\u00e8gies de tractament estan funcionant amb el pas del temps.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eeca76b elementor-widget elementor-widget-heading\" data-id=\"eeca76b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Mantenir h\u00e0bits regulars<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2e667d5 elementor-widget elementor-widget-text-editor\" data-id=\"2e667d5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tIntentar mantenir horaris relativament estables de son i \u00e0pats, aix\u00ed com una hidrataci\u00f3 adequada, pot formar part del maneig de la migranya.\n\nMantenir una activitat f\u00edsica regular i adaptada tamb\u00e9 es pot integrar dins d\u2019una estrat\u00e8gia global de prevenci\u00f3.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c230cf0 elementor-widget elementor-widget-heading\" data-id=\"c230cf0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Tractar la crisi de manera preco\u00e7<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-caaff94 elementor-widget elementor-widget-text-editor\" data-id=\"caaff94\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Quan apareix una migranya, acostuma a ser \u00fatil iniciar el tractament indicat pel metge al comen\u00e7ament de la crisi en lloc d\u2019esperar que el dolor es torni molt intens.<\/p><p> <\/p><p>Cada pacient disposa d\u2019un pla terap\u00e8utic diferent, per la qual cosa \u00e9s important seguir les indicacions del professional responsable del seguiment m\u00e8dic.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ecceb4 elementor-widget elementor-widget-heading\" data-id=\"7ecceb4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Evitar l\u2019\u00fas excessiu de medicaci\u00f3<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c99db54 elementor-widget elementor-widget-text-editor\" data-id=\"c99db54\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>L\u2019\u00fas massa freq\u00fcent d\u2019alguns medicaments per tractar les crisis pot afavorir l\u2019aparici\u00f3 de cefalea per sobre\u00fas de medicaci\u00f3.<\/p><p>Si notes que necessites medicaci\u00f3 cada vegada amb m\u00e9s freq\u00fc\u00e8ncia, conv\u00e9 comentar-ho amb el teu metge per valorar la situaci\u00f3 i, si \u00e9s necessari, altres opcions de tractament.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1551f0a elementor-widget elementor-widget-heading\" data-id=\"1551f0a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Quan les crisis s\u00f3n freq\u00fcents<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1abfbe0 elementor-widget elementor-widget-text-editor\" data-id=\"1abfbe0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Quan les migranyes s\u00f3n freq\u00fcents, intenses o interfereixen significativament en la vida di\u00e0ria, existeixen tractaments preventius que poden ajudar a reduir-ne la freq\u00fc\u00e8ncia i l\u2019impacte.<\/p><p>Ser\u00e0 el metge qui valori si aquest tipus de tractament est\u00e0 indicat en cada cas.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-932f7aa e-con-full e-flex e-con e-child\" data-id=\"932f7aa\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d04f7f3 elementor-widget elementor-widget-text-editor\" data-id=\"d04f7f3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">\ud83c\udfc3\u200d\u2640\ufe0f <span class=\"s2\"><b>A la pr\u00e0ctica<\/b><\/span><\/p><p> <\/p><p>Moltes persones arriben a la consulta amb la sensaci\u00f3 d\u2019haver provat \u201cde tot\u201d. Tanmateix, el maneig de la migranya rarament dep\u00e8n d\u2019una \u00fanica intervenci\u00f3. <\/p><p>Comprendre millor les crisis, mantenir una certa regularitat en el son i els \u00e0pats, recon\u00e8ixer els primers s\u00edmptomes, abordar les mol\u00e8sties cervicals o mandibulars quan s\u00f3n presents i disposar d\u2019un tractament m\u00e8dic adequat poden formar part d\u2019una mateixa estrat\u00e8gia.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2d8f93f elementor-widget elementor-widget-heading\" data-id=\"2d8f93f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Per a qui pot ser especialment \u00fatil un abordatge osteop\u00e0tic suau?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-338208c elementor-widget elementor-widget-text-editor\" data-id=\"338208c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Aquest tipus d\u2019acompanyament pot tenir m\u00e9s sentit quan, a m\u00e9s del diagn\u00f2stic o la sospita de migranya, hi ha:<\/p><ul><li>tensi\u00f3 cervical recurrent o mol\u00e8sties a la base del crani;<\/li><li>bruxisme o s\u00edmptomes relacionats amb l\u2019articulaci\u00f3 temporomandibular;<\/li><li>moltes hores de pantalla o postures mantingudes;<\/li><li>estr\u00e8s mantingut o dificultats per descansar;<\/li><li>necessitat d\u2019integrar el tractament manual dins d\u2019un abordatge m\u00e9s ampli que inclogui educaci\u00f3, moviment i seguiment m\u00e8dic.<\/li><\/ul><p> <\/p><p>L\u2019objectiu no \u00e9s substituir altres tractaments, sin\u00f3 oferir un acompanyament adaptat a les necessitats de cada persona.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3fd7603 elementor-widget elementor-widget-heading\" data-id=\"3fd7603\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Com \u00e9s una primera consulta?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9995dc1 elementor-widget elementor-widget-text-editor\" data-id=\"9995dc1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>La primera visita t\u00e9 com a objectiu comprendre com s\u00f3n les teves migranyes i com afecten la teva vida quotidiana.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-48af12a elementor-widget elementor-widget-heading\" data-id=\"48af12a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">1. Hist\u00f2ria cl\u00ednica detallada<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a6d6c65 elementor-widget elementor-widget-text-editor\" data-id=\"a6d6c65\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Comen\u00e7arem parlant de la freq\u00fc\u00e8ncia i la durada de les crisis, els s\u00edmptomes associats, la pres\u00e8ncia o no d\u2019aura, els possibles desencadenants, la medicaci\u00f3 utilitzada i la seva resposta, aix\u00ed com l\u2019impacte de la migranya en el teu dia a dia.<\/p><p>Aquesta primera part tamb\u00e9 permet identificar possibles senyals que requereixin una valoraci\u00f3 m\u00e8dica abans d\u2019iniciar o continuar el tractament.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-03501c1 elementor-widget elementor-widget-heading\" data-id=\"03501c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">2. Exploraci\u00f3<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d86b03c elementor-widget elementor-widget-text-editor\" data-id=\"d86b03c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Quan estigui indicat, valorarem la mobilitat i la sensibilitat de la regi\u00f3 cervical, la base del crani, la mand\u00edbula i altres factors musculoesquel\u00e8tics que puguin estar relacionats amb els teus s\u00edmptomes.<\/p><p>L\u2019exploraci\u00f3 s\u2019adapta sempre a cada persona i a com es troba aquell dia.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ac3a15 elementor-widget elementor-widget-heading\" data-id=\"4ac3a15\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">3. Objectius realistes i mesurables<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3cd8959 elementor-widget elementor-widget-text-editor\" data-id=\"3cd8959\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A partir de la hist\u00f2ria cl\u00ednica i de l\u2019exploraci\u00f3, definirem conjuntament objectius realistes i mesurables.<\/p><p>Per exemple: disminuir les mol\u00e8sties cervicals o mandibulars associades, recuperar mobilitat, tolerar millor determinades activitats o aprendre estrat\u00e8gies que ajudin a gestionar els s\u00edmptomes entre les crisis.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-241e21f elementor-widget elementor-widget-heading\" data-id=\"241e21f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">4. Tractament<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1ad3b62 elementor-widget elementor-widget-text-editor\" data-id=\"1ad3b62\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>El tractament s\u2019adapta al que s\u2019ha trobat durant l\u2019avaluaci\u00f3 i a la sensibilitat de cada persona.<\/p><p> <\/p><p>En la meva pr\u00e0ctica utilitzo principalment t\u00e8cniques manuals suaus sobre les regions que considero rellevants, com la zona cervical i suboccipital, la mand\u00edbula, la musculatura associada o la caixa tor\u00e0cica.<\/p><p>Durant tota la sessi\u00f3, la intensitat i les t\u00e8cniques utilitzades s\u2019adapten a la teva comoditat i a la teva resposta al tractament.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3569547 elementor-widget elementor-widget-heading\" data-id=\"3569547\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">5. Despr\u00e9s de la sessi\u00f3<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-747ff8b elementor-widget elementor-widget-text-editor\" data-id=\"747ff8b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>El tractament no acaba necess\u00e0riament quan finalitza la part manual.<\/p><p> <\/p><p>En funci\u00f3 de cada cas, podem establir algunes recomanacions senzilles per als dies seg\u00fcents: exercicis de mobilitat, estrat\u00e8gies per disminuir la sobrec\u00e0rrega cervical o mandibular, activitat f\u00edsica adaptada, exercicis respiratoris o canvis d\u2019h\u00e0bits que tinguin sentit en la teva situaci\u00f3.<\/p><p> <\/p><p>Tamb\u00e9 pot ser \u00fatil continuar amb un diari de migranya per observar l\u2019evoluci\u00f3 de les crisis i diferenciar els canvis en la migranya de l\u2019evoluci\u00f3 dels s\u00edmptomes cervicals o mandibulars associats.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6715dc1 elementor-widget elementor-widget-heading\" data-id=\"6715dc1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">6. Seguiment i reavaluaci\u00f3<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c37c0df elementor-widget elementor-widget-text-editor\" data-id=\"c37c0df\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>En les consultes seg\u00fcents reavaluarem els objectius establerts al principi.<\/p><p>No es tracta de fer sessions de manera indefinida, sin\u00f3 de comprovar si l\u2019abordatge est\u00e0 produint canvis \u00fatils. Si no \u00e9s aix\u00ed, reconsiderarem el tractament i, quan sigui necessari, recomanarem la valoraci\u00f3 d\u2019un altre professional sanitari. <\/p><p> <\/p><p>L\u2019objectiu \u00e9s que el tractament manual sigui una eina dins d\u2019un pla m\u00e9s ampli i que, progressivament, disposis de cada vegada m\u00e9s recursos per gestionar els teus s\u00edmptomes de manera aut\u00f2noma.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5c2dd3 elementor-widget elementor-widget-heading\" data-id=\"f5c2dd3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Per acabar<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d1e45b elementor-widget elementor-widget-text-editor\" data-id=\"4d1e45b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>La migranya no \u00e9s \u201cuna cosa que s\u2019hagi d\u2019aguantar\u201d. Tot i que no sempre \u00e9s possible eliminar completament les crisis, avui disposem d\u2019eines que permeten comprendre millor la malaltia i reduir-ne l\u2019impacte en la qualitat de vida. <\/p><p> <\/p><p>A <a href=\"https:\/\/aliantis.es\/ca\/\">Aliantis<\/a> entenem l\u2019osteopatia com una part d\u2019un abordatge integratiu, prudent i adaptat a cada persona. Quan hi ha mol\u00e8sties cervicals, tensi\u00f3 mandibular o altres s\u00edmptomes musculoesquel\u00e8tics associats, un tractament manual suau es pot orientar a millorar el confort i complementar el seguiment m\u00e8dic quan sigui necessari. <\/p><p> <\/p><p>Si les migranyes formen part del teu dia a dia i t\u2019agradaria valorar si aquest enfocament pot ser adequat per a tu, estarem encantats d\u2019escoltar-te i acompanyar-te.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5786716 elementor-widget elementor-widget-text-editor\" data-id=\"5786716\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\"> La migranya forma part de la teva hist\u00f2ria, per\u00f2 no ha de definir el teu dia a dia.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-949997b elementor-widget elementor-widget-heading\" data-id=\"949997b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">FAQ sobre migranya<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7a3ad599 elementor-widget elementor-widget-n-accordion\" data-id=\"7a3ad599\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2050\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2050\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> L\u2019osteopatia pot curar la migranya? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2050\" class=\"elementor-element elementor-element-375245f9 e-con-full e-flex e-con e-child\" data-id=\"375245f9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2df04e2e elementor-widget elementor-widget-text-editor\" data-id=\"2df04e2e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tNo. La migranya \u00e9s un trastorn neurol\u00f2gic complex i l\u2019osteopatia no es pot considerar un tractament curatiu. \n\nTanmateix, algunes persones tamb\u00e9 presenten dolor cervical, tensi\u00f3 mandibular, bruxisme o altres mol\u00e8sties musculoesquel\u00e8tiques. En aquests casos, un abordatge manual suau es pot orientar a millorar aquests s\u00edmptomes i formar part d\u2019un maneig m\u00e9s global. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2051\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2051\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Quantes sessions d\u2019osteopatia s\u00f3n necess\u00e0ries? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2051\" class=\"elementor-element elementor-element-4355928c e-con-full e-flex e-con e-child\" data-id=\"4355928c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5346870b elementor-widget elementor-widget-text-editor\" data-id=\"5346870b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tNo existeix un nombre de sessions v\u00e0lid per a tothom.\n\nDependr\u00e0 dels s\u00edmptomes associats, dels objectius definits durant la primera consulta i de l\u2019evoluci\u00f3. El tractament s\u2019ha de reavaluar regularment i, si no observem canvis \u00fatils, \u00e9s important reconsiderar l\u2019abordatge en lloc de prolongar les sessions de manera sistem\u00e0tica. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2052\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2052\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> \u00c9s millor acudir durant una crisi o entre les crisis? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2052\" class=\"elementor-element elementor-element-1be963e3 e-con-full e-flex e-con e-child\" data-id=\"1be963e3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-273631f9 elementor-widget elementor-widget-text-editor\" data-id=\"273631f9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tDep\u00e8n de la intensitat de la crisi i de com et trobis.\n\nDurant una migranya intensa, moltes persones presenten una gran sensibilitat a la llum, al soroll, al moviment o al contacte i prefereixen descansar en un entorn tranquil.\n\nEntre les crisis acostuma a ser m\u00e9s f\u00e0cil avaluar les possibles mol\u00e8sties cervicals o mandibulars associades i establir estrat\u00e8gies per al dia a dia.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2053\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2053\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> La migranya sempre est\u00e0 relacionada amb el coll? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2053\" class=\"elementor-element elementor-element-e695ca7 e-con-full e-flex e-con e-child\" data-id=\"e695ca7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-804d56a elementor-widget elementor-widget-text-editor\" data-id=\"804d56a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tNo. La migranya no est\u00e0 causada per una v\u00e8rtebra bloquejada, una mala postura o una contractura cervical. \n\nTanmateix, el dolor i la rigidesa cervical s\u00f3n freq\u00fcents en les persones amb migranya i poden apar\u00e8ixer abans, durant o despr\u00e9s d\u2019una crisi.\n\nQuan hi ha mol\u00e8sties cervicals associades, t\u00e9 sentit avaluar-les i tractar-les com a part del quadre global, sense considerar-les necess\u00e0riament la causa de la migranya.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2054\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2054\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Quina \u00e9s la difer\u00e8ncia entre migranya i cefalea tensional? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2054\" class=\"elementor-element elementor-element-55aef3c e-con-full e-flex e-con e-child\" data-id=\"55aef3c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fccda56 elementor-widget elementor-widget-text-editor\" data-id=\"fccda56\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>S\u00f3n dos tipus diferents de cefalea prim\u00e0ria.<\/p><p> <\/p><p>La migranya acostuma a produir episodis de dolor moderat o intens i pot anar acompanyada de n\u00e0usees, sensibilitat a la llum i al soroll i empitjorament amb l\u2019activitat f\u00edsica. Algunes persones tamb\u00e9 presenten aura. <\/p><p> <\/p><p>La cefalea tensional acostuma a produir un dolor m\u00e9s opressiu, generalment d\u2019intensitat lleu o moderada, i habitualment no presenta les mateixes caracter\u00edstiques associades.<\/p><p> <\/p><p>Els s\u00edmptomes es poden solapar i una mateixa persona pot presentar m\u00e9s d\u2019un tipus de cefalea, per la qual cosa, davant de dubtes sobre el diagn\u00f2stic, \u00e9s recomanable fer una valoraci\u00f3 m\u00e8dica.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2055\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"6\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2055\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Puc fer exercici si tinc migranya? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2055\" class=\"elementor-element elementor-element-eed5d00 e-con-full e-flex e-con e-child\" data-id=\"eed5d00\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-37fa455 elementor-widget elementor-widget-text-editor\" data-id=\"37fa455\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tEn general, mantenir una activitat f\u00edsica regular i adaptada pot formar part d\u2019un abordatge global de la migranya.\n\nDurant una crisi, per\u00f2, el moviment i l\u2019exercici poden augmentar els s\u00edmptomes en algunes persones. L\u2019activitat s\u2019ha d\u2019adaptar al moment i a la toler\u00e0ncia individual. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2056\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"7\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2056\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Quan m\u2019hauria de preocupar si les meves migranyes canvien? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2056\" class=\"elementor-element elementor-element-2a2d8ad e-con-full e-flex e-con e-child\" data-id=\"2a2d8ad\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-59c7919 elementor-widget elementor-widget-text-editor\" data-id=\"59c7919\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tSi tens un diagn\u00f2stic conegut de migranya per\u00f2 el patr\u00f3 canvia clarament \u2014per exemple, apareixen s\u00edmptomes neurol\u00f2gics nous, el dolor es torna molt diferent, augmenta progressivament o apareix una cefalea sobtada i extremadament intensa\u2014 \u00e9s important sol\u00b7licitar una valoraci\u00f3 m\u00e8dica.\n\nTamb\u00e9 conv\u00e9 consultar si les crisis es fan cada vegada m\u00e9s freq\u00fcents o interfereixen significativament en la teva vida quotidiana.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2057\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"8\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2057\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Quan hauria de consultar un neur\u00f2leg? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2057\" class=\"elementor-element elementor-element-caa888d e-con-full e-flex e-con e-child\" data-id=\"caa888d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-29971cf elementor-widget elementor-widget-text-editor\" data-id=\"29971cf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tNo totes les persones amb migranya necessiten seguiment per neurologia. Moltes poden ser diagnosticades i tractades adequadament des de l\u2019atenci\u00f3 prim\u00e0ria. \n\nPot ser recomanable una valoraci\u00f3 especialitzada quan hi ha dubtes sobre el diagn\u00f2stic, s\u00edmptomes at\u00edpics, migranyes molt freq\u00fcents o incapacitants, o quan els tractaments habituals no proporcionen un control suficient.\n\nTamb\u00e9 \u00e9s important consultar si utilitzes medicaci\u00f3 per a les crisis amb molta freq\u00fc\u00e8ncia, ja que l\u2019\u00fas excessiu d\u2019alguns tractaments pot contribuir a desenvolupar una cefalea per sobre\u00fas de medicaci\u00f3.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0c754f3 e-con-full e-flex e-con e-child\" data-id=\"0c754f3\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1fec814 elementor-widget elementor-widget-text-editor\" data-id=\"1fec814\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><em>Aquest article de blog no t\u00e9 com a objectiu generar nous coneixements; la seva redacci\u00f3 es basa en la lectura de publicacions cient\u00edfiques, articles de blog i altres textos.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7cc1488 e-con-full e-flex e-con e-child\" data-id=\"7cc1488\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-db3466c elementor-widget elementor-widget-text-editor\" data-id=\"db3466c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Fonts:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8f26d21 elementor-widget elementor-widget-text-editor\" data-id=\"8f26d21\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Eigenbrodt AK, Ashina H, Khan S, et al. Diagnosis and management of migraine in ten steps. Nature Reviews Neurology. 2021;17:501\u2013514. doi:10.1038\/s41582-021-00509-5.    <\/p><p>Steiner TJ, Jensen R, Katsarava Z, et al. Aids to management of headache disorders in primary care (2nd edition). The Journal of Headache and Pain. 2019;20:57. doi:10.1186\/s10194-018-0899-2.    <\/p><p>Posadzki P, Klimek AT, Ernst E. Spinal manipulations for migraine: an updated systematic review and meta-analysis of randomized clinical trials. Systematic Reviews. 2024;13:296. doi:10.1186\/s13643-024-02719-6.   <\/p><p>Sico JJ, Antonovich NM, Ballard-Hernandez J, et al. 2023 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline for the Management of Headache. Annals of Internal Medicine.   2024.<\/p><p>Qaseem A, Tice JA, Etxeandia-Ikobaltzeta I, et al. Pharmacologic Treatments of Acute Episodic Migraine Headache in Outpatient Settings: A Clinical Guideline From the American College of Physicians. Annals of Internal Medicine.   2025. doi:10.7326\/ANNALS-24-03095.<\/p><p>Puledda F, Sacco S, Diener HC, et al. International Headache Society Global Practice Recommendations for Preventive Pharmacological Treatment of Migraine. Cephalalgia. 2024;44(9). doi:10.1177\/03331024241269735.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Pot ajudar l\u2019osteopatia en la migranya? Descobreix qu\u00e8 sabem sobre les seves causes, els desencadenants i el tractament, i qu\u00e8 en diu l\u2019evid\u00e8ncia cient\u00edfica. <\/p>\n","protected":false},"author":1,"featured_media":4997,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[48,47],"tags":[],"class_list":["post-5525","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dolor","category-osteopatia"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Migranya i osteopatia: qu\u00e8 pot ajudar | Aliantis<\/title>\n<meta name=\"description\" content=\"Pot ajudar l\u2019osteopatia en la migranya? 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