Left side of perineum is sore/tight attimes. Could a tight muscle on left leg cause this? My hip seems slightly to twisted/uneven wasn't b4, imbalanc?

Connected body parts. Good question! Yes, the various parts of your body certainly can and often do cause strains on other parts. The root of your problem may be in your hip, knee, or even your foot. Chiropractors and some DO's (osteopathic doctors), particularly those who specialize in PM&R (physical medicine & rehabilitation) can evaluate you and provide treatment.