Sneezing back like a pinprick pain, consider may be pneumothorax, thoracic vertebral joint misalignment, vertebral fracture, can be given general treatment, physical therapy, drug treatment, surgery. 1. Pneumothorax: Intra-abdominal pressure rises during sneezing, which squeezes the lungs and causes increased pressure in the chest cavity, easily causing pleural rupture and pneumothorax, which manifests as stabbing pain in the back. It is recommended to take rest and inhale oxygen for treatment. If not relieved, thoracentesis is needed. 2. Dislocation of small joints of thoracic vertebrae: sneezing causes increased pressure in the thoracic cavity, causing dislocation of small joints of thoracic vertebrae, and the dislocation of joints can press the nerves in the back of the chest, causing tingling in the corresponding parts. Thoracic spine traction and local manipulation are recommended. If no improvement is observed, surgical repositioning is required. 3. Vertebral fracture: For elderly osteoporosis patients, sneezing causes back muscle contraction, which can cause vertebral fracture and tingling. Local braking, bed rest and oral painkillers such as diclofenac sodium extended-release tablets are recommended. If the elderly are in good physical condition, minimally invasive bone cement tamponade should be given. Postoperative anti-osteoporosis drugs such as zoledronic acid sodium and calcium supplements such as calcium carbonate, vitamin D treatment. Sneezing back pain like pins and needles is recommended to be actively consulted and treated under the guidance of a physician.