Long term pain in sacral region in teenager.

Patient : My 15 year old son (6'1", 140 lb.) has been experiencing pain in the sacral area of his back for the better part of three years. He did eight weeks of PT which did not help. It hurts the worst when he sits at school on the hard chairs, but also bothers him when he is doing other things. He remembers no injury that started the pain. He has had x-rays which show no abnormalities, however on the note it says "spina biffida occulta noted at S1". I took him to an orthopedic specialist today who claims it's muscular and is sending him back for more PT. I just know it's not muscular, but I will give PT another try. What is my next step to try and figure this out if therapy doesn't help? What kind of specialist can I bring him to?
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