The feeling of pins and needles in the left chest from time to time may be due to costochondritis, coronary artery disease, and insufficient blood supply to the heart muscle. It can be treated by medication and surgery. 1. Costal chondritis: Costal chondritis can cause patients to have pins and needles pain in the chest from time to time. Patients can be relieved by hot compresses, while taking anti-inflammatory pain medications such as ibuprofen and diclofenac sodium extended-release tablets under the guidance of a doctor, as well as penicillin and other medications for anti-infective treatment. 2. Coronary heart disease: coronary heart disease can also cause pins and needles in the left chest, patients should pay attention to a low-fat, low-salt diet under the guidance of a doctor to take aspirin, atorvastatin and other drugs for treatment. For the serious condition of patients need to implant a stent in the coronary artery for treatment. 3. Insufficient blood supply to the myocardium: If it is due to insufficient blood supply to the myocardium caused by the pins and needles feeling in the left chest, the patient can be under the guidance of the doctor will be nitroglycerin into the sublingual, stenosis caused by insufficient blood supply to the myocardium, need to implantation of stents for the treatment of surgery. The feeling of pins and needles in the left chest from time to time may also be caused by intercostal neuralgia and other diseases, when this symptom occurs, the patient should consult a doctor in time for examination.