The stabbing pain in the waist like pins and needles may have the following causes: first, intercostal neuralgia, when the intercostal nerve is inflamed in its course, the pain of the intercostal nerve can occur, which can appear as stabbing pain, hidden pain or radiating pain, which should be diagnosed by early physical examination and examination, and early nerve nutrition and local closure treatment; second, herpes zoster, which can appear in the early stage of herpes zoster. In the early stage of herpes zoster, there can be stabbing pain or vague pain on one side of the waist, and after 1-2 weeks of incubation period, there can be clusters of herpes, which should be diagnosed and treated in the dermatology department, and treated with nerve nutrition and physiotherapy at an early stage. Early diagnosis and treatment are required.