**5. Conclusions**

This study provides a new set of data regarding the prevalence and severity of lower back complaints in a sample of adolescent competitive alpine racers. It further supports the relatively high magnitudes of lower back-related pain, with a considerable amount of high intensity but low disability complaints. Interestingly, more low back complains were reported during SL and GS than other skiing disciplines. Moreover, this study further highlights an accumulation of adverse loadings on the athletes' spine being a key driver for developing pain conditions. Accordingly, adolescent competitive alpine skiers should be particularly protected by rigorous prevention strategies already before reaching adolescence.

**Author Contributions:** Conceptualization, A.C., D.S., and S.M.; investigation, M.G.; resources, D.S. and M.G.; data curation, A.C., F.S., and M.G.; writing—original draft preparation, F.S., M.G. and J.S.; writing—review and editing A.C., J.S., and S.M. All authors have read and agreed to the published version of the manuscript.

**Funding:** This research received no external funding.

**Acknowledgments:** The authors would like to thank the participants for their kind participation and their coaches, ski clubs, and the FISI Veneto Committee for supporting and facilitating the completion of this study.

**Conflicts of Interest:** The authors declare no conflict of interest.
