Occasional pins and needles pain in the neck may be due to different causes of the disease and requires the selection of drugs for treatment according to different diseases. There are several common clinical causes as follows: 1. Abnormal discharge of small nerves in the skin of the neck leads to it, and cold in the neck may be the triggering factor. In addition, it is recommended to avoid cold in the neck.2. Hair follicles or skin infections in the neck can lead to a local tingling sensation, but there will be local skin redness, or even protrusion above the skin surface. The local infection is recommended to be treated with topical anti-inflammatory creams, such as ichthyolite cream. 3, the muscle strain in the neck can have pins and needles-like pain, and it is recommended to take blood-activating Chinese medicine for treatment, such as cervical rejuvenation granules.