Sudden pain like pins and needles in the toes, the main consideration is the above clinical symptoms caused by neuralgia in the toes, the common cause is mainly due to excessive activity, or due to external environmental stimulation trauma, do not exclude the diabetic peripheral neuropathy related. If the problem occurs occasionally, it is not a big problem. The main thing is not to get cold, not to stay up late, and to ensure sleep. If there is nerve damage, you can apply methocobalamin under the guidance of a physician to nourish the nerves and correct the needle-like pain.