Patients with headache pain like pins and needles may be caused by the following aspects: 1. Consider that it is caused by neuropathic headache, such as occipital neuralgia and temporal neuralgia. When patients get cold, wind or because of cervical spine diseases, resulting in stimulation of the occipital nerve, they will have headache as if it is like pins and needles, showing lightning-like attacks. 2. The constriction of the blood vessels and nerves under the scalp caused by mental tension or cold, etc., is caused by certain stimulation. In this case, the patient should not be too nervous, and can improve the symptoms by acupuncture and hot compress symptomatically. If the headache is severe, you can take oral aminoglutethimide tablets to relieve the pain and relieve the symptoms.