The main causes of the right side of the head like pins and needles pain are the right side of the cerebral vascular spasm, herpes zoster, occipital neuralgia and so on. 1. Cerebral vasospasm on the right side: if you stay up late for a long time, insomnia, anxiety, resulting in excessive sympathetic excitation, may cause cerebral vasospasm on the right side, so the right side of the head will appear like a pinprick pain. 2. Herpes zoster: when the right side of the scalp is infected by the herpes zoster virus, the virus stimulates the blood vessels and nerves distributed on the right side of the scalp, which can cause the right side of the head to hurt like pins and needles. 3. Occipital neuralgia: Occipital nerve injury caused by cervical spondylosis, neck trauma and other reasons may cause occipital neuralgia, this pain can radiate to the back of the occipital region and the top of the head, resulting in the right side of the head pins and needles like pain. If the right side of the head pins and needles like pain, should go to the regular hospital in time to identify the cause of the disease, and under the guidance of professional doctors to choose the appropriate method of treatment.