Peripheral neuropathy of the butt? That's definitely a new one on me. Just which peripheral nerves are involved?
I haven't seen you or examined you, nor do I know what your sexual preferences might be. But tingling/burning sounds a hell of a lot like herpes to me. Simplex, either genital or oral would be the best bet, but zoster is also a (remote) possibility. The zoster virus is chickenpox, which in adults shows up as "shingles" Typically it starts as a burning/tingling sensation.
Then again, you might just be sitting too much. I would advise blood titers for herpes simplex, IgG and IgM if they haven't been run in your STD battery. Keep me posted, and best of luck
Dr Danny
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