Toe pain like pins and needles, may be related to toe trauma, may also be peripheral neuritis, diabetic peripheral neuropathy and other causes. 1. Trauma to the toes: In the course of ordinary life or work, if the toes are accidentally crushed or smashed by hard objects, the symptoms of pain in the toes like pins and needles may occur, and may be accompanied by localized swelling, bruising and other symptoms. 2. Peripheral neuritis: due to inflammation in the peripheral nerves, under the stimulation of inflammation, the peripheral nerves are damaged, resulting in nerve dysfunction, which may show the symptom of pain in the toes like pins and needles, and may be accompanied by symptoms such as numbness and weakness of the toes. 3. Diabetic peripheral neuropathy: this disease can make the peripheral nerves damaged, resulting in poor blood flow to the nerve endings, causing the peripheral nerves can not get enough energy supply, resulting in peripheral nerve sensory disorders, manifesting the pain in the toes like pins and needles, and can be accompanied by unsteady walking, local sensory abnormalities and other symptoms. Toe pain like pins and needles may also be caused by other reasons, if the symptoms continue to be unable to improve, or there are other symptoms of discomfort, you should consult a doctor as soon as possible, after diagnosis of the cause of the disease, standardized treatment under the guidance of the doctor.