There are many causes of scalp pain, such as occipital nerve pain, herpes zoster, folliculitis and other factors. 1. Occipital nerve pain: the specific cause of occipital nerve pain is unknown, may be related to trauma, infection, cold stimulation, etc., can cause the phenomenon of pinprick pain in the scalp, especially in emotional agitation when the symptoms are more serious. 2. Herpes zoster: herpes zoster on the scalp, can cause pinprick pain in the scalp, at the same time, the appearance of the scalp will have obvious blisters, erythema, accompanied by burning sensation. 3. Folliculitis: scalp hair follicles suffer from bacterial infection, can induce inflammation, so it will cause the scalp to appear red pimples similar lesions, accompanied by pus, and the phenomenon of scalp pins and needles pain. There are many reasons for the pinprick pain in the scalp, it is recommended that patients go to the hospital in time to improve the examination, to clarify the specific situation, to give targeted treatment, do not ignore the symptoms, so as not to cause adverse effects.