Back pain in gymnast nothing helping

Patient : Hello i am a 16 year old femaile who is a level 9 gymnast. i have been getting moderate to severe low back pain with sciatica for about 6 months.my docotro said that is seemed to be just muscle knotts. THe physical therapist agreed and with dry needling it seemed to help. II am still having back pain daily and the knots arent working out anymore. I am not having bilateral instead of unilateral sciatica and the pain is encasing my entire back. Could there be a skeletal issue?
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