Toes like pins and needles pain, may be overworked, trauma and gout and other reasons, can be under the guidance of the doctor to take painkillers and lower uric acid medication and so on. 1. Overexertion: If the patient has been doing a lot of labor for a long time, it may lead to overexertion and thus show the pain symptoms, you can take painkillers such as diclofenac sodium delayed-release tablets under the guidance of the doctor to relieve the pain symptoms. 2. Trauma: Trauma may also lead to the emergence of pinprick pain in the toes, at this time, attention should be paid to the affected part of the quiet. At the same time, you can take appropriate pain medication such as ibuprofen, etc., to reduce the pain symptoms. 3. Gout: If the patient suffers from gout, it may cause the symptoms of pain like pins and needles in the toes. At this time should pay attention to try not to eat animal offal, seafood and other foods. Under the guidance of the doctor, you can take uric acid-lowering drugs such as febuxostat and colchicine, etc., so as to treat the symptoms of gout. If your toes hurt like pins and needles, you should go to the hospital in time for treatment.