hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As mentioned by your symptoms, I will advice to get assessed by an ortho or a physical therapist. As by undergoing the Neuromuscular assessment it will help us the cause and the symptoms better. Also, you have mentioned in your history about tingling, numbness, pain etc I will advice to look forward with a MRI of lumbar spine. As it will assist us to see the internal structures of the spine. This symptoms are usually due to lumbar radiculopathy - that is the pinched nerve in the lumbar spine and symptoms arise accordingly. You can take physical therapy like - Therapeutic ultrasound therapy and TENS therapy. post which exercise for the core, pelvic floor, spine muscle Strengthening , lower limb strengthening ,etc. in my clinical practice I deal with the cases having complaints. They respond well a combination of medication and physical therapy. Regards Jay Indravadan Patel