{"id":40926,"date":"2026-10-20T13:44:59","date_gmt":"2026-10-20T11:44:59","guid":{"rendered":"https:\/\/www.mgc.es\/?p=40926"},"modified":"2026-10-20T13:45:01","modified_gmt":"2026-10-20T11:45:01","slug":"clinica-del-dolor-al-centre-medic-mgc-diagnostic-i-tractament-especialitzat-del-dolor","status":"publish","type":"post","link":"https:\/\/www.mgc.es\/ca\/blog\/clinica-del-dolor-al-centre-medic-mgc-diagnostic-i-tractament-especialitzat-del-dolor\/","title":{"rendered":"Cl\u00ednica del Dolor al Centre M\u00e8dic MGC: diagn\u00f2stic i tractament especialitzat del dolor"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\"><p class=\"ez-toc-title\" style=\"cursor:inherit\">\u00cdndex de continguts<\/p>\n<\/div><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.mgc.es\/ca\/blog\/clinica-del-dolor-al-centre-medic-mgc-diagnostic-i-tractament-especialitzat-del-dolor\/#Que_es_una_clinica_del_dolor\" >Qu\u00e8 \u00e9s una cl\u00ednica del dolor?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.mgc.es\/ca\/blog\/clinica-del-dolor-al-centre-medic-mgc-diagnostic-i-tractament-especialitzat-del-dolor\/#Quins_tipus_de_dolor_es_tracten\" >Quins tipus de dolor es tracten?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.mgc.es\/ca\/blog\/clinica-del-dolor-al-centre-medic-mgc-diagnostic-i-tractament-especialitzat-del-dolor\/#Com_es_el_proces_assistencial\" >Com \u00e9s el proc\u00e9s assistencial?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.mgc.es\/ca\/blog\/clinica-del-dolor-al-centre-medic-mgc-diagnostic-i-tractament-especialitzat-del-dolor\/#Quins_tractaments_ofereix_la_Clinica_del_Dolor\" >Quins tractaments ofereix la Cl\u00ednica del Dolor?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.mgc.es\/ca\/blog\/clinica-del-dolor-al-centre-medic-mgc-diagnostic-i-tractament-especialitzat-del-dolor\/#Qui_dirigeix_la_unitat\" >Qui dirigeix la unitat?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.mgc.es\/ca\/blog\/clinica-del-dolor-al-centre-medic-mgc-diagnostic-i-tractament-especialitzat-del-dolor\/#Quan_conve_consultar_una_unitat_del_dolor\" >Quan conv\u00e9 consultar una unitat del dolor?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.mgc.es\/ca\/blog\/clinica-del-dolor-al-centre-medic-mgc-diagnostic-i-tractament-especialitzat-del-dolor\/#Una_medicina_del_dolor_responsable_i_propera\" >Una medicina del dolor responsable i propera<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\">El <strong>Centre M\u00e8dic MGC<\/strong> incorpora una nova especialitat: la <strong>Cl\u00ednica del Dolor i RHB Barcelona<\/strong>, una unitat m\u00e8dica dedicada al diagn\u00f2stic i tractament especialitzat del dolor agut, cr\u00f2nic i postoperatori, dirigida pel <strong>Dr. Fernando Domingo<\/strong>, especialista en Anestesiologia i Medicina del Dolor amb m\u00e9s de quaranta anys d&#8217;experi\u00e8ncia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">L&#8217;atenci\u00f3 es presta als consultoris de Tuset, a Barcelona, i est\u00e0 oberta a totes les persones, no nom\u00e9s als mutualistes. Aix\u00ed, qualsevol persona que ho necessiti pot accedir a una valoraci\u00f3 especialitzada quan el dolor afecta el seu dia a dia, en l\u00ednia amb l&#8217;objectiu de la <a href=\"https:\/\/fundacio.mgc.es\/\">Fundaci\u00f3 MGC<\/a>: <strong>el foment de la salut i la prevenci\u00f3 de la malaltia en benefici de tota la societat<\/strong>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Que_es_una_clinica_del_dolor\"><\/span>Qu\u00e8 \u00e9s una cl\u00ednica del dolor?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"880\" height=\"588\" src=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2026\/10\/metgessa_pacient_columna-880x588.jpg\" alt=\"\" class=\"wp-image-40931\" srcset=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2026\/10\/metgessa_pacient_columna-880x588.jpg 880w, https:\/\/www.mgc.es\/wp-content\/uploads\/2026\/10\/metgessa_pacient_columna-440x294.jpg 440w, https:\/\/www.mgc.es\/wp-content\/uploads\/2026\/10\/metgessa_pacient_columna-768x513.jpg 768w, https:\/\/www.mgc.es\/wp-content\/uploads\/2026\/10\/metgessa_pacient_columna.jpg 1000w\" sizes=\"auto, (max-width: 880px) 100vw, 880px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Una cl\u00ednica o unitat del dolor \u00e9s un servei m\u00e8dic especialitzat a <strong>identificar l&#8217;origen del dolor, valorar-ne l&#8217;impacte en la vida del pacient i proposar el tractament m\u00e9s adequat<\/strong> en cada cas. Est\u00e0 especialment indicada quan el dolor persisteix en el temps, no millora amb els tractaments habituals o limita l&#8217;activitat di\u00e0ria.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La Cl\u00ednica del Dolor i RHB Barcelona \u00e9s una unitat pionera en aquest \u00e0mbit, amb una traject\u00f2ria consolidada des de 1994 a l&#8217;Hospital El Pilar de Barcelona. El seu model combina experi\u00e8ncia m\u00e8dica, criteri cl\u00ednic, t\u00e8cniques m\u00ednimament invasives i tecnologia aplicada al diagn\u00f2stic i al tractament, prioritzant sempre la seguretat del pacient i evitant tractaments innecessaris.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Quins_tipus_de_dolor_es_tracten\"><\/span>Quins tipus de dolor es tracten?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">La unitat at\u00e9n pacients amb dolor d&#8217;origen divers, amb una experi\u00e8ncia especial en quadres musculoesquel\u00e8tics, neurop\u00e0tics i articulars:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Dolor musculoesquel\u00e8tic<\/strong>: dolor cervical o <a href=\"https:\/\/www.mgc.es\/ca\/blog\/artrosi-lumbar-simptomes-causes-tractaments\/\">dolor lumbar<\/a>, dolor de la cintura escapular o pelviana, afectaci\u00f3 sacroil\u00edaca i altres quadres relacionats amb m\u00fasculs, ossos i articulacions.<\/li>\n\n\n\n<li><strong>Dolor neurop\u00e0tic<\/strong>: dolor derivat de la irritaci\u00f3 o lesi\u00f3 d&#8217;un nervi, com passa amb la <a href=\"https:\/\/www.mgc.es\/ca\/blog\/com-alleugem-el-dolor-de-ciatica-en-nomes-un-parell-de-minuts-trucs-efectius\/\">ci\u00e0tica<\/a>, les neur\u00e0lgies (del trigemin, pudenda o intercostal) i altres s\u00edndromes neurop\u00e0tiques.<\/li>\n\n\n\n<li><strong>Dolor articular<\/strong>: <a href=\"https:\/\/www.mgc.es\/ca\/blog\/tinc-dolor-a-lespatlla\/\">dolor a l&#8217;espatlla<\/a>, <a href=\"https:\/\/www.mgc.es\/ca\/blog\/dolor-de-genoll-que-hi-ha-al-darrere-causes-prevencio-i-quan-consultar-amb-el-metge\/\">dolor de genoll<\/a>, de maluc i d&#8217;altres articulacions, valorant tant opcions infiltratives com tractaments biol\u00f2gics quan estan indicats.<\/li>\n\n\n\n<li><strong>Dolor agut i postoperatori<\/strong>: situacions de dolor intens o persistent despr\u00e9s d&#8217;una intervenci\u00f3, amb l&#8217;objectiu de controlar els s\u00edmptomes i afavorir la recuperaci\u00f3 funcional.<\/li>\n\n\n\n<li><strong>Dolor cr\u00f2nic<\/strong>: dolor persistent, sovint de llarga evoluci\u00f3, que requereix una valoraci\u00f3 ordenada, objectius terap\u00e8utics realistes i un seguiment continuat.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Com_es_el_proces_assistencial\"><\/span>Com \u00e9s el proc\u00e9s assistencial?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Cada pacient segueix un recorregut estructurat en quatre fases:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Valoraci\u00f3 cl\u00ednica<\/strong>: revisi\u00f3 dels antecedents, exploraci\u00f3 f\u00edsica i an\u00e0lisi de les proves disponibles.<\/li>\n\n\n\n<li><strong>Orientaci\u00f3 diagn\u00f2stica<\/strong>: identificaci\u00f3 de les estructures o els mecanismes que poden estar causant el dolor.<\/li>\n\n\n\n<li><strong>Pla terap\u00e8utic individualitzat<\/strong>: selecci\u00f3 del tractament m\u00e9s apropiat segons la indicaci\u00f3, la seguretat i els objectius funcionals.<\/li>\n\n\n\n<li><strong>Seguiment<\/strong>: valoraci\u00f3 de la resposta, ajust del tractament i continu\u00eftat assistencial quan cal.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Despr\u00e9s de la valoraci\u00f3 inicial, l&#8217;especialista determina si el dolor requereix estudi addicional, tractament m\u00e8dic, una t\u00e8cnica intervencionista o seguiment cl\u00ednic.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Quins_tractaments_ofereix_la_Clinica_del_Dolor\"><\/span>Quins tractaments ofereix la Cl\u00ednica del Dolor?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">La cartera de serveis inclou t\u00e8cniques intervencionistes i tractaments complementaris. La indicaci\u00f3 de cadascun dep\u00e8n sempre de la valoraci\u00f3 m\u00e8dica, de les caracter\u00edstiques del pacient i dels objectius cl\u00ednics acordats.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"880\" height=\"587\" src=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2026\/10\/ecograf_genoll-880x587.jpg\" alt=\"\" class=\"wp-image-40930\" srcset=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2026\/10\/ecograf_genoll-880x587.jpg 880w, https:\/\/www.mgc.es\/wp-content\/uploads\/2026\/10\/ecograf_genoll-440x293.jpg 440w, https:\/\/www.mgc.es\/wp-content\/uploads\/2026\/10\/ecograf_genoll-768x512.jpg 768w, https:\/\/www.mgc.es\/wp-content\/uploads\/2026\/10\/ecograf_genoll.jpg 1000w\" sizes=\"auto, (max-width: 880px) 100vw, 880px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Bloquejos i infiltracions guiades<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Consisteixen a administrar medicaci\u00f3 en un punt concret (un nervi, una articulaci\u00f3 o un m\u00fascul) per alleujar el dolor i, en alguns casos, confirmar-ne l&#8217;origen. Inclouen, entre d&#8217;altres, bloquejos epidurals, facetaris, intraarticulars, de nervis perif\u00e8rics, del nervi supraescapular, dels nervis geniculats (genoll), trocant\u00e8rics (maluc), del nervi pudend i coccigis.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Radiofreq\u00fc\u00e8ncia<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">La radiofreq\u00fc\u00e8ncia, t\u00e8rmica o polsada, actua sobre els nervis que transmeten el senyal dolor\u00f3s per reduir el dolor de manera perllongada. S&#8217;aplica, per exemple, a les facetes cervicals, dorsals i lumbars, a l&#8217;articulaci\u00f3 sacroil\u00edaca, als nervis geniculats, al nervi d&#8217;Arnold, al gangli de l&#8217;arrel dorsal i a nervis perif\u00e8rics.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Ter\u00e0pies regeneratives i complement\u00e0ries<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Plasma ric en plaquetes (PRP) i factors de creixement.<\/li>\n\n\n\n<li>Infiltracions amb \u00e0cid hialur\u00f2nic.<\/li>\n\n\n\n<li>Tractament amb toxina botul\u00ednica.<\/li>\n\n\n\n<li>Exosomes i crioablaci\u00f3, en indicacions seleccionades.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Quan la t\u00e8cnica ho requereix, els procediments es fan amb suport d&#8217;imatge, com l&#8217;<strong>ecografia o la fluorosc\u00f2pia<\/strong>, per guanyar precisi\u00f3 anat\u00f2mica i seguretat.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Qui_dirigeix_la_unitat\"><\/span>Qui dirigeix la unitat?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">La Cl\u00ednica del Dolor i RHB Barcelona est\u00e0 liderada pel <strong>Dr. Fernando Domingo<\/strong>, especialista en Anestesiologia i Medicina del Dolor. Amb m\u00e9s de quaranta anys d&#8217;experi\u00e8ncia, ha desenvolupat un model assistencial basat en protocols cl\u00ednics, seguiment continu i una orientaci\u00f3 clara a la millora funcional i la qualitat de vida del pacient.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La seva pr\u00e0ctica combina una valoraci\u00f3 m\u00e8dica completa, una \u00e0mplia experi\u00e8ncia en procediments intervencionistes i una comunicaci\u00f3 clara: cada pacient coneix les alternatives disponibles, qu\u00e8 pot esperar de manera realista de cada tractament i com ser\u00e0 el seguiment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Quan_conve_consultar_una_unitat_del_dolor\"><\/span>Quan conv\u00e9 consultar una unitat del dolor?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Pot ser recomanable demanar una valoraci\u00f3 especialitzada si:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>El dolor dura m\u00e9s de tres mesos o reapareix sovint.<\/li>\n\n\n\n<li>No millora amb els tractaments que has seguit fins ara.<\/li>\n\n\n\n<li>T&#8217;impedeix descansar, treballar o fer les teves activitats habituals.<\/li>\n\n\n\n<li>Persisteix un dolor intens despr\u00e9s d&#8217;una intervenci\u00f3 quir\u00fargica.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Davant d&#8217;un dolor intens i sobtat, o acompanyat de febre, p\u00e8rdua de for\u00e7a o altres s\u00edmptomes d&#8217;alarma, adre\u00e7a&#8217;t a urg\u00e8ncies.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Una_medicina_del_dolor_responsable_i_propera\"><\/span>Una medicina del dolor responsable i propera<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">El model de la Cl\u00ednica del Dolor i RHB Barcelona es basa en principis que comparteix la Fundaci\u00f3 MGC: <strong>atenci\u00f3 personalitzada<\/strong>, <strong>medicina responsable<\/strong> (indicacions justificades cl\u00ednicament, sense repetir proves o procediments innecessaris), <strong>informaci\u00f3 clara<\/strong> sobre el diagn\u00f2stic i les opcions disponibles, i <strong>continu\u00eftat assistencial<\/strong>, perqu\u00e8 el seguiment tamb\u00e9 forma part del tractament.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Amb aquesta nova especialitat al Centre M\u00e8dic MGC, la Fundaci\u00f3 MGC apropa a tota la societat una valoraci\u00f3 experta del dolor, amb un equip capa\u00e7 de coordinar-se amb altres professionals i especialitats quan el cas ho requereix, i amb un tracte proper que fa cada pacient part\u00edcip de les decisions sobre la seva salut.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Si vols demanar m\u00e9s informaci\u00f3 o concertar una cita, pots <a href=\"https:\/\/centremedic.mgc.es\/sobre-nosaltres\/contacte\/\">contactar<\/a> directament amb el Centre M\u00e8dic MGC.<\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-cyan-bluish-gray-color has-alpha-channel-opacity has-cyan-bluish-gray-background-color has-background\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Bibliografia<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/medlineplus.gov\/spanish\/chronicpain.html\">MedlinePlus: dolor cr\u00f2nic<\/a><br><a href=\"https:\/\/sciencemediacentre.es\/como-entender-y-abordar-el-dolor-cronico\">Science Media Centre Espa\u00f1a: com entendre i abordar el dolor cr\u00f2nic<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>El Centre M\u00e8dic MGC incorpora una nova especialitat: la Cl\u00ednica del Dolor i RHB Barcelona, una unitat m\u00e8dica dedicada al diagn\u00f2stic i tractament especialitzat del dolor agut, cr\u00f2nic i postoperatori, dirigida pel Dr. Fernando Domingo, especialista en Anestesiologia i Medicina del Dolor amb m\u00e9s de quaranta anys d&#8217;experi\u00e8ncia. L&#8217;atenci\u00f3 es presta als consultoris de Tuset, [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":40931,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[568,15,1],"tags":[],"class_list":["post-40926","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fundacio-mgc","category-salut","category-sin-categorizar"],"acf":[],"featured_image_src":"https:\/\/www.mgc.es\/wp-content\/uploads\/2026\/10\/metgessa_pacient_columna.jpg","author_info":{"display_name":"Revista Inter\u00e8s Mutu","author_link":"https:\/\/www.mgc.es\/ca\/blog\/author\/interesmutu\/"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cl\u00ednica del Dolor al Centre M\u00e8dic MGC: diagn\u00f2stic i tractament especialitzat del dolor - MGC 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