The pain in the right chest like pins and needles may be related to the following causes: 1, there may be chest wall related injuries, such as if there is a previous direct violent blow to the chest wall, it may cause soft tissue contusion or rib fractures, which may cause pins and needles pain. 2, there may be internal organ lesions in the chest cavity. There are many possible causes for this symptom, such as pneumothorax, hemothorax, pulmonary tethering, severe pneumonia, lung cancer and a series of other lesions. 3, there may be the influence of cervical spondylosis. During the onset of neurogenic cervical spondylosis, radiating pain may be produced to the surrounding area due to the stimulation of the nerve roots around the cervical spine. And although it is not common in the chest area, there may also be radiating pain. Once this occurs, patients often mistake it for an associated lesion in the chest wall or around the breast.