Back pain is a common ailment in Germany, with one in five individuals seeking medical attention for it annually. However, a recent study by the Bertelsmann Foundation found that many of the six million X-rays taken each year for back pain are unnecessary. The study analyzed data from over seven million insured individuals from nearly 70 statutory health insurance providers. The foundation found that 85% of acute back pain cases are medically uncomplicated and typically resolve on their own within a few days. Moderate exercise, heat, and painkillers can help alleviate symptoms. However, many patients demand imaging tests, such as X-rays, CT scans, or MRIs, which are often unnecessary and do not improve diagnosis or treatment.
Doctors often contribute to this problem by not correcting patients’ false expectations and making premature and unnecessary imaging tests. In 2015, half of all patients underwent imaging tests without first attempting conservative therapy. Additionally, 43% of doctors provide incorrect advice, such as recommending rest and inactivity, which can exacerbate symptoms. Misinterpreting imaging results can lead to unnecessary treatments, patient anxiety, and chronic pain. The Bertelsmann Foundation suggests that doctors should prioritize physical examinations and personal conversations with patients to avoid unnecessary imaging tests.
Other countries have implemented measures to reduce unnecessary imaging tests. In Canada, doctors are not reimbursed for unnecessary imaging tests, while the Netherlands restricts access to imaging equipment. The Bertelsmann Foundation recommends that doctors in Germany should correct patients’ false expectations and prioritize physical examinations and personal conversations to avoid unnecessary imaging tests.
