@mann1
Herpes outbreaks can be aggravated and triggered by many things and the virus lays dormant, hiding in your nervous system for life.

If you have spine compression, this can aggravate the dormant virus to outbreak and reappear at the surface. This can include triggering hip/buttock, thigh/leg pain in addition to any genital/anus flares.

You may want to consider regular suppression daily to minimize outbreaks for a period of time to see if it helps reduce your painful symptoms.