The sensation of pins and needles in the fossa of the heart may be caused by costochondritis, myocardial infarction, tension pneumothorax, etc. Different causes are treated differently, and common treatments include medication and surgery. 1. Costal chondritis: patients can use non-steroidal analgesic and anti-inflammatory drugs, such as ibuprofen, naproxen, diclofenac sodium, etc., and when the pain is severe, corticosteroid hormone injections can be used for closed treatment, and surgical treatment can be carried out as prescribed by the doctor, such as puncture decompression surgery, if necessary. 2. Myocardial infarction: patients can follow the doctor’s instructions to use pain relieving, sedative drugs for treatment, such as dulcolax, morphine, but also use drugs to reduce myocardial oxygen consumption for treatment, such as bisoprolol, metoprolol, etc., but also follow the doctor’s instructions to use tegretol, heparin and other antithrombotic drugs for treatment, but also follow the doctor’s instructions for surgical treatment, such as percutaneous coronary intervention. 3. Tension pneumothorax: patients with tension pneumothorax mostly have acute attacks, patients can follow the doctor’s instructions for treatment by puncture or closed drainage, but also follow the doctor’s instructions for surgical treatment, such as segmental resection, alveolus resection, etc. The specific treatment needs to go to the hospital for examination. Specific treatment methods need to go to the hospital to confirm the diagnosis, under the guidance of the doctor to choose, the patient should go to the hospital regularly for review, the doctor can adjust the treatment program according to the review.