Pins and needles sensation at the neck to the clavicle may be caused by non-disease factors, or it may be related to pathological factors such as trauma, peripheral soft tissue infections, cardiogenic diseases, cervical spondylosis, tumors and so on. 1. Non-disease factors: such as poor sleeping posture on the local pressure or wind, causing pins and needles from the neck to the clavicle. 2. Pathological factors (1) Trauma: If trauma causes bone crack or fracture at the clavicle, sternum or ribs, it can cause pins and needles sensation from the neck to the clavicle, which may be accompanied by activity limitation. (2) Peripheral soft tissue infection: neck to clavicle infected with bacteria, viruses, etc., can cause peripheral soft tissue inflammation, subcutaneous cellulitis, which can be manifested as a localized pins and needles sensation from the neck to the clavicle. (3) Cardiac diseases: such as unstable angina, coronary artery disease and other cardiac diseases, which can cause radiating pain from the left side of the neck to the clavicle, the face, etc., and may have a pins and needles sensation. (4) Cervical spondylosis: overwork or keeping the same posture for a long time can cause cervical spondylosis, which can cause poor local blood flow and limited activities, and also cause pain from neck to clavicle, with pins and needles sensation. (5) Tumor: If lung malignant tumor involves the pleural nerve, it can be manifested as pain from the neck to the clavicle, accompanied by coughing, coughing, sputum with blood and other symptoms. If the pain from neck to clavicle is not relieved or even aggravated for a long time, it is recommended to go to the hospital in time to find out the cause of the pain and then carry out targeted treatment to avoid delaying the condition.