There are many possible reasons for foot tingling like pins and needles, including strain, peripheral neuropathy, lumbar disc herniation, gout, etc. 1. Strain injury: due to the incorrect way of exercising, not warming up sufficiently before exercising, or poor physical fitness of an individual, overloaded exercise, resulting in strain injury to the muscles and ligaments of the feet, may cause tingling like pins and needles in the feet. 2. Peripheral neuropathy: due to long-term extrusion or compression resulting in blood circulation disorders, peripheral nerve injury, mainly manifested in the distal limb sensory, motor and neurological dysfunction, can also appear as pins and needles pain. 3. Lumbar intervertebral disc herniation: Lumbar intervertebral disc herniation compresses the nerves and causes radiating pain in the lower limbs, and the symptom can also appear. 4. Gout: due to long-term high-purine diet, caused by gout, manifested as urate deposition in the feet, stimulating peripheral joints and surrounding tissues, causing tingling feet like pins and needles, often at night, the onset of acute and edema in the joints. There are many other causes of tingling feet like pins and needles, such as onychomycosis, arteriosclerosis of the lower extremities, etc. It is recommended to consult a doctor in time to clarify the cause of the disease and then carry out treatment.