Pins and needles pain in little toes can be caused by blood circulation disorder, lumbar spine disease, gout, trauma, etc. General treatment, medication, surgery, etc. can be carried out. 1. Blood circulation disorders: when sitting, standing or foot pressure for a long time, it can lead to blood circulation disorders in the toes, which in turn lead to pins and needles numbness and pain, need to change the posture, moderate activities, which is conducive to improve the discomfort symptoms. 2. Lumbar spine disease: lumbar spinal stenosis, lumbar disc herniation and other diseases can compress the nerve root, resulting in toe pain, numbness and other symptoms of nerve compression, need to reduce the lumbar activities, can follow the doctor’s instructions oral celecoxib anti-inflammatory and analgesic drugs and methylcobalamin tablets and other nutritive drugs, but also the application of mannitol to reduce the edema of the nerve root, feasible lumbar massage, traction, and other treatments, when the seriousness of the need for surgical treatment. 3. Gout: abnormal purine metabolism in the body can occur gout, when involved in the toes can lead to local symptoms of severe pain like pins and need to change bad habits, can follow the doctor’s instructions to apply febuxostat and other drugs to promote excretion of uric acid as well as allopurinol and other drugs to inhibit the production of uric acid, but also oral anti-inflammatory and analgesic drugs, such as diclofenac sodium treatment. 4. trauma: trauma leads to toe nerve injury, can cause local tingling and numbness and other symptoms, need to consult a doctor to clarify the damage, oral methylcobalamin tablets and other nutritive nerve medication, nerve fracture and other serious conditions need to perform surgical repair. When the little toe pins and needles like pain should be timely medical treatment, help early relief of pain and other uncomfortable symptoms.