If your child’s chest feels like pins and needles and is fine after an EKG and lung films, it may be due to myocarditis, intercostal neuritis, gastroesophageal reflux, and so on. 1. Myocarditis: If the child has myocarditis due to infection, autoimmune, physical, chemical and other factors, it may also appear like pins and needles in the chest, and the electrocardiogram and lung film are fine. It is necessary to check troponin, improve the cardiac ultrasound and 24-hour electrocardiogram, if necessary, in order to exclude. 2. Intercostal neuritis: Intercostal neuritis pain symptoms often sudden onset, sudden stop, usually along the intercostal nerve distribution area of pain symptoms, often because of poor rest, coughing, strenuous exercise and triggered. 3. Gastroesophageal reflux: patients with gastroesophageal reflux may also experience a pins and needles sensation in the chest, which may be accompanied by acid reflux, pain in swallowing, dysphagia, hoarseness, pharyngeal discomfort or foreign body sensation and other symptoms. The child’s chest like pins and needles may also have other causes, it is recommended to go to the hospital in a timely manner, improve the examination to determine the cause of the disease, under the guidance of the doctor to give targeted treatment or treatment.