It is bilateral but localized and may have begun by overuse of each effected area. All areas were not effected at the same time but manifested themselves over the course of about the first 2 years. There does seeem to be trigger points in both my feet and tailbone when I have bad flair-ups but not in the other areas. I also have increased skin sensitivity in all these areas along with other areas in my upper body. Remission does happen at times, but it's never complete and some areas are not included.
Avoidance is the best medicine but complete impossible.
One other factor I think might be related is that I've had genital herpes for the past 16 years. I have an appointment next month with a different neurologist and I would appreciate any information that you could give me in order to help me better prepare. Sorry to hear about your constant paresthesias. If it were high, then post-viral may be a cause. You might also have fibromyalgia as you have constant pain and trigger points, but you didn't seem to mention fatigue.