Tingling on the soles of the feet like pins and needles may be caused by bunions, plantar fasciitis, gout and other diseases, which need to be treated with general treatment, medication and surgery. 1. Bunion: Common symptoms include plantar pain and bunion deformity. Patients can improve the condition through massage and stretching. Patients with obvious pain can use non-steroidal anti-inflammatory drugs such as celecoxib and diclofenac diethylamide latex as prescribed by the doctor. If conservative treatment is ineffective, surgical treatment such as soft tissue surgery and osteotomy is needed. 2. Plantar fasciitis: the typical symptom is pain at the bottom of the foot or heel. Patients need to cooperate with doctors to use orthopedic insoles, which can relax the tension of plantar fascia and reduce pain. If the pain is severe, the patient should use non-steroidal anti-inflammatory drugs (NSAIDs) such as piroxicam and ibuprofen as prescribed by the doctor. If conservative treatment is not effective, the doctor will inject betamethasone and lidocaine into the foot, or take plantar fascia release surgery. 3. Gout: The main symptom is redness, swelling, heat and pain in the affected joints, which may be manifested as tingling on the soles of the feet. Patients need to follow the doctor’s instructions to use indomethacin, etoricoxib and other non-steroidal anti-inflammatory drugs, combined with colchicine treatment, if there is still no therapeutic effect, then you need to follow the doctor’s instructions to use dexamethasone, prednisone and other glucocorticosteroids. For patients with frequent attacks and gout stones, the use of drugs such as allopurinol and febuxostat to inhibit the production of uric acid, as well as drugs such as benzbromarone and probenecid to promote the excretion of uric acid should be prescribed by the doctor. If the condition is serious, surgery is needed to remove gout stones, and orthopedic surgery is needed for those with joint deformities. It is recommended that patients with tingling on the soles of the feet like pins and needles go to the hospital in time to get a clear diagnosis, follow the doctor’s instructions for treatment, and do not blindly use medication.