The causes of pain like pins and needles in the middle of the chest mainly include chest wall soft tissue injury, cardiovascular system diseases, intercostal neuralgia, as follows: 1, chest wall soft tissue injury: most of the recent lifting heavy objects or physical exercise, etc., resulting in muscle and soft tissue strains in the chest wall, which causes pain like pins and needles, which can be significantly relieved by hot compresses and rest; 2, cardiovascular system diseases: more Due to the usual history of angina pectoris, myocardial ischemia and coronary artery disease, coupled with recent exertion or work tension, resulting in increased blood supply to the body’s cardiovascular system, which in turn causes increased load on the heart, resulting in pain and discomfort in the middle of the chest like cramps; 3, intercostal neuralgia: intercostal neuralgia is a sterile inflammatory disease, mostly at rest or at night when the pain is obvious, by taking nerve-nourishing drugs, the pain can be relieved. can be relieved.