Nonspecific lower back pain in overhead athletes is multifactorial and is not solely determined by the type and intensity of the sport

Josef Finsterer
South African journal of sports medicine · 2026 · vol. 38(1) , pp. v38i1a24875 · doi:10.17159/2078-516x/2026/v38i1a24875 · PMID:41918929 · PMC13034979
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This research indicates that nonspecific lower back pain in overhead athletes is multifactorial and not solely determined by the type and intensity of their sport.

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This letter to the editor responds to a previous study on non-specific low back pain in amateur overhead athletes, arguing that the condition is multifactorial rather than being determined solely by sport type or intensity. The authors cite existing literature linking chronic back pain to factors such as poor sleep quality and psychological stress, suggesting these elements play significant roles alongside physical activity. No new primary data were collected; instead, the piece serves as a commentary challenging the scope of risk factor analysis in the referenced article. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Nonspecific lower back pain in overhead athletes is multifactorial and is not solely determined by the type and intensity of the sport DOI: https://doi.org/10.17159/2078-516X/2026/v38i1a24875Abstract Letter to the editor in response to a 2025 publication in the South African Journal of Sports Medicine: Moatshe TP, Dawood M. Prevalence and risk factors of non-specific low back pain among amateur overhead athletes in Gauteng Province. S Afr J Sports Med. 2025; 37:1-6. http://dx.doi.org/10.17159/2078-516X/2025/v37i1a18797. Related article: Moatshe, T. P. (2026). Response: “Nonspecific lower back pain in overhead athletes is multifactorial and is not solely determined by the type and intensity of the sport”. S Afr J Sports Med, 38(1). https://doi.org/10.17159/2078-516X/2026/v38i1a25502. Downloads References 1. Moatshe TP, Dawood M. Prevalence and risk factors of non-specific low back pain among amateur overhead athletes in Gauteng Province. S Afr J Sports Med. 2025; 37:1-6 [http://dx.doi.org/10.17159/2078-516X/2025/v37i1a18797] [PMID: 40376105] [PMCID: PMC12077823] 2. Farley T, Stokke J, Goyal K, DeMicco R. Chronic Low Back Pain: History, Symptoms, Pain Mechanisms, and Treatment. Life (Basel). 2024 Jun 27;14(7):812. [http://dx.doi.org/10.3390/life14070812] [PMID 39063567] [PMCID: PMC11278085] 3. Skarpsno ES, Nilsen TIL, Mork PJ. The effect of long-term poor sleep quality on risk of back-related disability and the modifying role of physical activity. Sci Rep. 2021 Jul 28;11(1):15386. [http://dx.doi.org/10.1038/s41598-021-94845-7] [PMID 34321561] [PMCID: PMC8319142] 4. Choi S, Nah S, Jang HD, Moon JE, Han S. Association between chronic low back pain and degree of stress: a nationwide cross-sectional study. Sci Rep. 2021 Jul 15;11(1):14549. [http://dx.doi.org/10.1038/s41598-021-94001-1] [PMID:34267269] [PMCID: PMC8282867] Downloads Published Issue Section License Copyright (c) 2026 South African Journal of Sports Medicine This work is licensed under a Creative Commons Attribution 4.0 International License. The South African Journal of Sports Medicine reserves copyright of the material published. The work is licensed under a Creative Commons Attribution 4.0 (CC BY 4.0) International License. Material submitted for publication in the South African Journal of Sports Medicine is accepted provided it has not been published elsewhere. The South African Journal of Sports Medicine does not hold itself responsible for statements made by the authors.

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