Occasional pins and needles pain in the chest is seen in the following conditions. First, it is cardiac neurosis, which is very common in young women, and it is also related to external factors, emotional fluctuations, exertion can also lead to the appearance of symptoms, and ECG examination is usually negative. After rest or symptomatic treatment, the symptoms can be improved. Second, if there is a history of open chest surgery, or intrapulmonary infection, pleural thickening left over from pleurisy, usually there will be intermittent chest pain, pins and needles sensation, after exertion will trigger the aggravation of symptoms, CT examination found that there is a thickening of the pleura, usually you should pay attention to rest, appropriate sports and exercise, enhance lung function, can alleviate the condition. Third, some patients are caused by costochondritis, occasional pinprick pain.