There are many reasons for head pain like pins and needles, common causes are mainly the following aspects: first, neurological headache, the disease is often seen in mental stress, overworked, often stay up all night patients, the main manifestation of the head of the head of the real pins and needles kind of pain, and the head has a sense of bondage, a sense of tightness, you can take ibuprofen extended-release capsules, aminoglycosan tablets and other anti-inflammatory and pain relieving drugs for symptomatic treatment. Second, trigeminal neuralgia, the disease is due to nerve demyelination changes caused by the main manifestation of one side of the temple pins and needles kind of pain, the symptoms lasted a few seconds to dozens of seconds, usually no more than a minute, can take gabapentin capsules, carbamazepine and other drugs symptomatic relief of pain symptoms. Third, herpes zoster, the disease is mainly due to the herpes virus attack on the nerves, can also cause side of the head pinpoint pain, its skin is often characteristic, cluster-like herpes zoster, treatment requires the application of acyclovir, ganciclovir and other antiviral drugs symptomatic treatment. Secondly, drugs that nourish the nerves, such as methylcobalamin and vitamin B1, can be applied to improve symptoms, and symptomatic pain medications can be taken to relieve symptoms when pain is severe. However, in either case, if the symptoms do not improve significantly or worsen further after taking medication for a period of time, it is necessary to go to the hospital in time.