{"id":15071,"date":"2026-03-20T00:00:53","date_gmt":"2026-03-19T23:00:53","guid":{"rendered":"https:\/\/dev.institutchiaribcn.com\/enfermedades\/fibromialgia\/"},"modified":"2026-04-09T12:50:52","modified_gmt":"2026-04-09T10:50:52","slug":"fibromialgia","status":"publish","type":"enfermedades","link":"https:\/\/institutchiaribcn.com\/ca\/fibromialgia\/","title":{"rendered":"Fibromi\u00e0lgia"},"content":{"rendered":"<p><strong>\u00daltima actualitzaci\u00f3: 20\/03\/2026, <\/strong><a href=\"https:\/\/institutchiaribcn.com\/ca\/personal-clinic\/\" target=\"_blank\" rel=\"noopener\"><strong>Dr. Miguel B. Royo Salvador<\/strong><\/a>, <strong>N\u00famero de col\u00b7legiat 10389.<\/strong><br \/>\n<strong>Neurocirurgi\u00e0 i Neur\u00f2leg.<\/strong><\/p>\n<h2><strong>Definici\u00f3<\/strong><\/h2>\n<p style=\"text-align: justify;\">La Fibromi\u00e0lgia o S\u00edndrome de Fibromi\u00e0lgia t\u00e9 una incid\u00e8ncia general en la poblaci\u00f3 entre l\u20191% i el 8% i afecta principalment les dones. La S\u00edndrome de Fibromi\u00e0lgia (FB) es defineix com a prim\u00e0ria o idiop\u00e0tica, quan no es combina amb cap altra patologia, i es defineix com a secund\u00e0ria quan es diagnostica en associaci\u00f3 amb altres patologies cl\u00edniques (principalment malalties cr\u00f2niques).<\/p>\n<p>A partir del 1984 s\u2019ha proposat el concepte de S\u00edndromes de Sensibilitat Central com concepte patol\u00f2gic que engloba diferents processos amb caracter\u00edstiques comunes, entre els quals la de Fibromi\u00e0lgia, la S\u00edndrome de Fatiga cr\u00f2nica i d\u2019altres.<\/p>\n<div style=\"margin-top: 25px;\" align=\"center\"><img decoding=\"async\" class=\"aligncenter size-full wp-image-8363 img-responsive\" src=\"https:\/\/institutchiaribcn.com\/wp-content\/uploads\/2019\/03\/Fibromialgia.jpg\" alt=\"\" \/><\/div>\n<p style=\"text-align: center;\"><em>Fig.1<\/em><\/p>\n<div class=\"row\">\n<div class=\"col-md-3\" style=\"padding: 15px;\"><\/div>\n<\/div>\n<hr \/>\n<h2><strong>S\u00edmptomes<\/strong><\/h2>\n<p style=\"text-align: justify;\">La Fibromi\u00e0lgia es manifesta amb un <strong>dolor muscoloesquel\u00e8tic cr\u00f2nic generalitzat (dolor als m\u00fasculs i\/o ossos)<\/strong>, associat a la rigidesa i <strong>s\u00edmptomes extraesquel\u00e8tics<\/strong> que afecten diferents \u00f2rgans i sistemes. Entre aquests \u00faltims, els s\u00edmptomes m\u00e9s freq\u00fcents s\u00f3n: <strong>dolor intestinal, cefalees, taquic\u00e0rdia, trastorns menstruals, falta d\u2019al\u00e8, insomni, ansietat, estat d\u2019\u00e0nim baix i depressi\u00f3, dificultats cognitives de mem\u00f2ria, atenci\u00f3 i concentraci\u00f3.<\/strong> Tamb\u00e9 es caracteritza per un <strong>intens cansament i fatiga f\u00e0cil<\/strong>.<\/p>\n<div style=\"padding: 10px;\"><\/div>\n<hr \/>\n<h2><strong>Causes<\/strong><\/h2>\n<p style=\"text-align: justify;\">Actualment no existeixen unes causes espec\u00edfiques reconegudes que originin la FB. Pel que concerneix la investigaci\u00f3 sobre les mateixes:<\/p>\n<ul>\n<li>Els estudis actuals d\u2019imatges funcionals recolzen la teoria que molts signes i s\u00edmptomes de la S\u00edndrome de Fibromi\u00e0lgia poden ser deguts a una disfunci\u00f3 del sistema nervi\u00f3s central i que aquest causi un processament alterat dels est\u00edmuls sensorials.<\/li>\n<li>Tanmateix, els estudis actuals reconeixen una forta correlaci\u00f3 entre la Fibromi\u00e0lgia i les malalties del sistema nervi\u00f3s central.<\/li>\n<li>En particular, existeixen moltes evid\u00e8ncies sobre el deteriorament neuroendocr\u00ed i auton\u00f2mic en la S\u00edndrome de Fibromi\u00e0lgia, amb s\u00edmptomes molt similars als que es manifesten en un alt percentatge de pacients amb la Malaltia del Filum Terminale. Aix\u00f2 ha portat a altres autors a exposar que, com a m\u00ednim en un subconjunt limitat de pacients, la Fibromi\u00e0lgia pot considerar-se un epifenomen de la Malaltia del Filum.<\/li>\n<\/ul>\n<p><strong>-Segons el m\u00e8tode sanitari Filum System<sup>\u00ae<\/sup>:<\/strong><\/p>\n<p style=\"text-align: justify;\">En aquest \u00faltim cas, s\u2019observa que en alguns casos la Fibromi\u00e0lgia pot ser deguda a un mecanisme cong\u00e8nit d\u2019asincronia en el creixement, en la fase embrion\u00e0ria, entre la medul\u00b7la espinal i el sistema nervi\u00f3s central amb la columna vertebral. Aix\u00f2 genera una for\u00e7a de tracci\u00f3 medul\u00b7lar an\u00f2mala que es transmet des del c\u00f2ccix, per un filum terminale massa curt i tens, fins al crani. Es considera aleshores que la tracci\u00f3 an\u00f2mala provocada pel Filum Terminale pot ser una causa de predisposici\u00f3 al desenvolupament de la S\u00edndrome de Fibromi\u00e0lgia.<\/p>\n<div style=\"padding: 10px;\"><\/div>\n<hr \/>\n<h2><strong>Diagn\u00f2stic<\/strong><\/h2>\n<p style=\"text-align: justify;\">Els s\u00edmptomes de la Fibromi\u00e0lgia tenen tend\u00e8ncia a apar\u00e8ixer i desapar\u00e8ixer c\u00edclicament. Aix\u00f2, juntament amb la falta de coneixement sobre quines serien les proves espec\u00edfiques per recon\u00e8ixer-la, implica la dificultat per detectar-la, amb el conseg\u00fcent retard en aplicar m\u00e8todes de tractament, encara que siguin \u00fanicament conservatius, per al seu abordatge.<\/p>\n<p>El Col\u00b7legi Americ\u00e0 de Reumatologia va establir el 1990 els criteris diagn\u00f2stics de la S\u00edndrome de la Fibromi\u00e0lgia actualment acceptats; en el 2010 es van proposar uns nous criteris, que estan pendents de validar.<\/p>\n<p>S\u2019han observat en la Fibromi\u00e0lgia alteracions inespec\u00edfiques en la Resson\u00e0ncia Nuclear Magn\u00e8tica funcional i superposades a altres quadres de dolor cr\u00f2nic, com ara: canvis en el volum de la subst\u00e0ncia grisa i blanca, en els nivells de N- acetilaspartat, colina o glutamat; principalment, a l\u2019hipocamp, \u00ednsula, escor\u00e7a prefrontal i cingular.<\/p>\n<p>El M\u00e8tode Filum System<sup>\u00ae<\/sup>, a la llum del descobriment esmentat de diferents casos de Fibromi\u00e0lgia que corresponen al diagn\u00f2stic de Malaltia del Filum, suggereix que es procedeixi a Resson\u00e0ncia Magn\u00e8tica Nuclear encef\u00e0lica i de la columna vertebral, per comprovar la pres\u00e8ncia de signes que indiquin una tracci\u00f3 an\u00f2mala de la medul\u00b7la espinal, com possible alteraci\u00f3 visible a neuroimatge en la S\u00edndrome de la Fibromi\u00e0lgia.<\/p>\n<div style=\"padding: 10px;\"><\/div>\n<hr \/>\n<h2><strong>Factors de Risc<\/strong><\/h2>\n<p style=\"text-align: justify;\">Els factors de risc que predisposen a una major possibilitat de tenir Fibromi\u00e0lgia s\u00f3n:<\/p>\n<ul>\n<li><strong>Sexe femen\u00ed<\/strong>: \u00c9s una malaltia m\u00e9s freq\u00fcent en el sexe femen\u00ed (la relaci\u00f3 entre femen\u00ed\/mascul\u00ed \u00e9s de 6\/1).<\/li>\n<li><strong>Edat: <\/strong>La S\u00edndrome de la Fibromi\u00e0lgia pot afectar pacients de qualsevol edat, per\u00f2 s\u2019observa que la seva incid\u00e8ncia augmenta amb aquesta.<\/li>\n<li><strong>Factors gen\u00e8tics\/Antecedents familiars: <\/strong>El desenvolupament de la Fibromi\u00e0lgia sembla ser m\u00e9s freq\u00fcent en persones amb familiars que pateixen la malaltia. A m\u00e9s, la tracci\u00f3 caudal produ\u00efda per un Filum Terminale excessivament tens, al que anomenem Malaltia del Filum, consisteix en una patologia de tipus cong\u00e8nit, que es pot transmetre entre familiars.<\/li>\n<li><strong>Estr\u00e8s: <\/strong>S\u2019ha constatat que l\u2019estr\u00e8s f\u00edsic o mental pot ser un factor desencadenant de la Fibromi\u00e0lgia.<\/li>\n<li><strong>Altres factors: <\/strong>S\u2019han detectat en diferents casos infeccions bacterianes o v\u00edriques, accidents o altres malalties (per exemple artritis reumatoide o lupus) com agents desencadenants, que no semblen causar la Fibromi\u00e0lgia, sin\u00f3 despertar l\u2019anomalia de resposta t\u00edpica de la malaltia.<\/li>\n<\/ul>\n<div style=\"padding: 10px;\"><\/div>\n<hr \/>\n<h2><strong>Complicacions<\/strong><\/h2>\n<ul>\n<li><strong>Empitjorament de la qualitat de vida: <\/strong>Els s\u00edmptomes de dolor generalitzat i de fatiga cr\u00f2nica en la Fibromi\u00e0lgia poden augmentar i disminuir c\u00edclicament. Tamb\u00e9 els s\u00edmptomes d\u2019afectaci\u00f3 cognitiva es poden retroalimentar en un cercle vici\u00f3s amb els de dolor cr\u00f2nic, provocant a m\u00e9s a m\u00e9s depressi\u00f3 i\/o ansietat afegides. Tot aix\u00f2 participa en el deteriorament de la qualitat de vida dels pacients, que arriben a estar limitats per la simptomatologia en la seva activitat i frustrats per la incomprensi\u00f3 de la malaltia, la qual t\u00e9 una falta de reconeixement que pot exacerbar les seves manifestacions.<\/li>\n<li><strong>Dolor cr\u00f2nic: <\/strong>Els s\u00edmptomes del dolor en els m\u00fasculs, els ossos, les cefalees, el dolor intestinal i dolor generalitzat, entre els s\u00edmptomes de la malaltia, poden arribar a ser recurrents o cr\u00f2nics, complicant ulteriorment les condicions dels malalts.<\/li>\n<\/ul>\n<div style=\"padding: 10px;\"><\/div>\n<hr \/>\n<h2><strong>Tractaments<\/strong><\/h2>\n<p style=\"text-align: justify;\">La malaltia no t\u00e9 cura definitiva. Ara com ara, el tractament es realitza amb la finalitat de pal\u00b7liar el dolor, tractar alguns altres s\u00edmptomes i aconseguir la millora de la qualitat de vida dels malalts. Actualment, diverses especialitats estan involucrades en el tractament de la S\u00edndrome de Fibromi\u00e0lgia: medicina interna i general, reumatologia, rehabilitaci\u00f3, fisioter\u00e0pia, psicologia, diet\u00e8tica, etc.<\/p>\n<p>Pel que fa a la nostra especialitat, la neurocirurgia, a partir d\u2019un estudi publicat pel Dr. Mantia i col\u00b7laboradors el 2015 i basat en l\u2019aplicaci\u00f3 del Filum System\u00ae als pacients, s\u2019ha comprovat que l\u2019abordatge quir\u00fargic, aplicat a la FB abans de la fisioter\u00e0pia pot beneficiar als malalts, sempre que es confirmi pr\u00e8viament l\u2019exist\u00e8ncia de signes de la Malaltia del Filum, corresponent a la s\u00edndrome etiol\u00f2gicament com a m\u00ednim en un subconjunt de casos.<\/p>\n<p>Des de 1993, amb la publicaci\u00f3 de la tesi doctoral del Dr. Royo Salvador, que relaciona la tracci\u00f3 caudal de tot el sistema nervi\u00f3s pel <em>Filum Terminale<\/em>, com a causa de v\u00e0ries malalties, s\u2019ha dissenyat un <strong>nou tractament,<\/strong> que en aquest cas \u00e9s etiol\u00f2gic o referit a la <em>causa, <\/em>donat que en <strong>seccionar quir\u00fargicament el filum terminale<\/strong> s\u2019elimina la for\u00e7a de tracci\u00f3 medul\u00b7lar caudal responsable del mecanisme patol\u00f2gic.<\/p>\n<p>La nostra t\u00e8cnica de Secci\u00f3 del Filum Terminale \u00e9s m\u00ednimament invasiva i acostuma a indicar-se en tots els casos diagnosticats i com abans millor, perqu\u00e8 t\u00e9 riscos m\u00ednims i atura la possible evoluci\u00f3 de la malaltia.<\/p>\n<div style=\"padding: 10px;\"><\/div>\n<hr \/>\n<h2><strong>La Secci\u00f3 del Filum Terminale<\/strong><\/h2>\n<div class=\"row\">\n<div class=\"col-md-12\">\n<div class=\"boxAdvantages barAdvantages\">\n<div align=\"center\"><\/div>\n<h3><strong>Avantatges<\/strong><\/h3>\n<p style=\"text-align: justify; padding-left: 30px;\">1. Elimina la tracci\u00f3 de la medul\u00b7la espinal provocada pel lligament quan \u00e9s massa curt o tens.<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">2. Amb la t\u00e8cnica quir\u00fargica m\u00ednimament invasiva pr\u00f2pia de l\u2019ICSEB, el temps quir\u00fargic \u00e9s de 45 minuts. Poques hores d\u2019ingr\u00e9s.<\/p>\n<p>Anest\u00e8sia local. Postoperatori curt i sense limitacions. Sense ingr\u00e9s a la unitat de cures intensives. Sense transfusions de sang.<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">3. La seva aplicaci\u00f3 suposa el 0% de mortalitat, sense seq\u00fceles.<\/p>\n<p style=\"text-align: justify; padding-left: 30px;\">4. Millora els s\u00edmptomes i atura l\u2019evoluci\u00f3 en les patologies associades a la Malaltia del Filum.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div style=\"padding: 10px;\"><\/div>\n<hr \/>\n<h2><strong>Resultats<\/strong><\/h2>\n<p style=\"text-align: justify;\">S\u2019ha pogut observar que en pacients amb Fibromi\u00e0lgia sotmesos al tractament quir\u00fargic de la Secci\u00f3 del Filum Terminale, segons el m\u00e8tode Filum System\u00ae, i despr\u00e9s a fisioter\u00e0pia, la majoria dels malalts ha tingut una millora significativa en comparaci\u00f3 amb els pacients que nom\u00e9s s\u2019han sotm\u00e8s a fisioter\u00e0pia.<\/p>\n<p>Posteriorment a la fisioter\u00e0pia, els pacients tractats quir\u00fargicament mostren una important millora dels s\u00edmptomes en termes de reducci\u00f3 del dolor i millora de la qualitat de vida<\/p>\n<div style=\"padding: 10px;\"><\/div>\n<hr \/>\n<h2><strong>Bibliografia:<\/strong><\/h2>\n<ol>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Cazzola M, Sarzi Puttini P, Stisi S, Di Franco M, Bazzichi L, Carignola R, Gracely RH, Salaffi F, Marinangeli F, Torta R, Giamberardino MA, Buskila D, Spath M, Biasi G, Cassisi G, Casale R, Altomonte L, Arioli G, Alciati A, Marsico A, Ceccherelli F, Leardini G, Gorla R, Atzeni F, Italian Fibromyalgia Network (2008) Fibromyalgia syndrome: definition and diagnostic aspects. Reumatismo 60(Suppl.1):3-14.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Claw DJ (2009) Fibromyalgia: an overview. Am. J. Med 122:S3-S13.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Crofford LJ (1998) Neuroendocrine abnormalities in fibromyalgia and related disorders. Am J Med Sci 315:359-366<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Demitrack M, Crofford L (1998) Evidence for and pathophyiologic implication of hypothalamic-pituitary-adrenal axis dysregulation in fibromyalgia and chronic fatigue syndrome. Ann N Y Acad Sci 840:684-697<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Forseth KO, Gran JT, Husby G (1997) A population study of the incidence of fibromyalgia among women aged 26-55 yr. Brit J Rheumatol 36:1318-1323.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Goldenberg DL (2009) Diagnosis and differential diagnosis of Fybromialgia. Am J Med 122:S14-21.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Yunus MB (2008) Central Sensitivity syndromes: a new paradigm and group nosology for fibromyalgia and overlappiung conditions, and the related issue of disease versus illness. Semin Arthritis Reum 37:339-352.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Kwiatek R, Barnden L, Tedman R, Jarrett R, Chew J, Rowe C, Pile K (2000) Regional cerebral blood flow in fibromyalgia: single-photon-emission computed tomography evidence of reduction in the pontine tegmentum and thalami. Arthritis Rheum 43:2823-2233.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Mantia R., Di Ges\u00f9 M., Vetro A., Mantia F., Palma S., Iovane A. Shortness of filum terminale represents an anatomical specific feature in fibromyalgia: a nuclear magnetic resonance and clinical study. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=mantia+shortness\">Muscles Ligaments Tendons J.<\/a> 2015 Mar 27;5(1):33-7.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Mountz JM, Bradley LA, Modell JG, Alexander RW, Triana-Alexander M, Aaron LA, Stewart KE, Alarc\u00f3n GS, Mountz JD (1995) Fibromyalgia in women. Abnormalities in regional cerebral blood flow in the thalamus and caudate nucleus are associated with low pain thresholds. Arthritis Rheum 38:926.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Murga I et al. Cambios en la resonancia cerebral asociados al syndrome de fibromialgia. Med Clin (Barc). 2017.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Royo Salvador M.B. (1996), <a href=\"https:\/\/institutchiaribcn.com\/pdf\/publicaciones\/dr-royo\/Siringomielia-escoliosis-malformacion-Arnold_Chiari-idiopatica.pdf\">Siringomielia, escoliosis y malformaci\u00f3n de Arnold-Chiari idiop\u00e1ticas, etiolog\u00eda com\u00fan (PDF).<\/a>REV NEUROL (Barc); 24 (132): 937-959.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Royo Salvador M.B. (1996), <a href=\"https:\/\/institutchiaribcn.com\/pdf\/publicaciones\/dr-royo\/platibasia-impresion-basilar-retroceso-odontoideo.pdf\">Platibasia, impresi\u00f3n basilar, retroceso odontoideo y kinking del tronco cerebral, etiolog\u00eda com\u00fan con la siringomielia, escoliosis y malformaci\u00f3n de Arnold-Chiari idiop\u00e1ticas (PDF).<\/a> REV NEUROL (Barc); 24 (134): 1241-1250<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Dr. Miguel B. Royo Salvador (1997), <a href=\"https:\/\/institutchiaribcn.com\/pdf\/publicaciones\/dr-royo\/Nuevo-tratamiento-sirignomielia-escoliosis-malformacion-Arnold_Chiari.pdf \" target=\"_blank\" rel=\"noopener\">Nuevo tratamiento quir\u00fargico para la <strong>siringomielia<\/strong>, la <strong>escoliosis<\/strong>, la <strong>malformaci\u00f3n de Arnold-Chiari<\/strong>, el kinking del tronco cerebral, el retroceso odontoideo, la impresi\u00f3n basilar y la platibasia idiop\u00e1ticas (PDF).<\/a> REV NEUROL; 25 (140): 523-530<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">M. B. Royo-Salvador, J. Sol\u00e9-Llenas, J. M. Dom\u00e9nech, and R. Gonz\u00e1lez-Adrio, (2005) <a href=\"https:\/\/institutchiaribcn.com\/pdf\/publicaciones\/dr-royo\/results-filum-in-20-patients.pdf \" target=\"_blank\" rel=\"noopener\">&#8220;Results of the section of the <strong>filum terminale<\/strong> in 20 patients with <strong>syringomyelia<\/strong>, scoliosis and <strong>Chiari malformation<\/strong>&#8220;.(PDF).<\/a> Acta Neurochir (Wien) 147: 515\u2013523.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">M. B. Royo-Salvador (2014), <a href=\"https:\/\/institutchiaribcn.com\/commons\/pdf\/publicaciones\/dr-royo\/filum-system-bibliography.pdf\" target=\"_blank\" rel=\"noopener\">&#8220;Filum System<sup>\u00ae<\/sup> Bibliography&#8221; (PDF).<\/a><\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">M. B. Royo-Salvador (2014), <a href=\"https:\/\/institutchiaribcn.com\/fr\/filum-system-guide\/\" target=\"_blank\" rel=\"noopener\">&#8220;Filum System<sup>\u00ae<\/sup> Gu\u00eda Breve&#8221;.<\/a><\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Staud R (2008) Autonomic dysfunction in fibromyalgia syndrome: postural orthostatic tachycardia. Curr Rheumatol Rep 10:463-466.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Tanriverdi F, Karaca Z, Unluhizarci K, Kelestimur F (2007) The hypothalamo-pituitary-adrenal axis in chronic fatigue syndrome and fibromyalgia syndrome. Stress 10:13-25.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Winfield JB (2007) Fibromyalgia and related central sensitivity syndromes: twenty-five years of progress. Semin Arthritis Rheum 36:335-338.<\/li>\n<li style=\"font-size: 16px; font-weight: 300; text-align: justify;\">Wolfe F, Smythe HA, Yunus MB, Bennet RM, Bombardier C, Goldenberg DL et al. The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Arthritis Rheum. 1990;33:160-72.<\/li>\n<\/ol>\n","protected":false},"featured_media":1508,"template":"","class_list":["post-15071","enfermedades","type-enfermedades","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Fibromi\u00e0lgia | Institut Chiari Barcelona<\/title>\n<meta name=\"description\" content=\"La fibromi\u00e0lgia \u00e9s una condici\u00f3 cr\u00f2nica i complexa que causa dolors generalitzats i esgotament profund.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/institutchiaribcn.com\/ca\/fibromialgia\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fibromi\u00e0lgia | Institut Chiari Barcelona\" \/>\n<meta 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