Pain like pins and needles in the head refers to the painful sensation like pins and needles in the skin, subcutaneous tissue and muscles outside the skull, and does not belong to the performance of migraine, tension headache or neuralgia. The most common cause is wind and cold, such as sleeping with the air conditioner or window open, which can be treated with hot compresses, hot towels or physical therapy or acupuncture. Others, such as neuralgia, whose performance pain is more intense, like fire-like, electric burning-like, also need to be ruled out, consult a neurologist and take drugs like carbamazepine for neuralgia. If it is a general pinch-like pain, you can also add aspirin, ibuprofen and other drugs to treat it if it particularly affects your life.