There are several reasons for the sudden pain in the toes like pins and needles: First, the blood circulation to the toes is impaired after standing or sitting for a long time, this situation generally does not require special treatment, pay attention to rest or appropriate activities, the symptoms can gradually improve; Second, lumbar disc herniation compression nerve, some patients can suddenly appear after exertion or improper activities, perform lumbar disc CT can be clearly diagnosed; Third, gout is caused by the body purine Gout is caused by abnormal metabolism of purines in the body, when eating seafood or drinking alcohol will lead to high purine content in the body, which will easily trigger gout and cause pain in toes, ankles and other parts of the body, and blood uric acid test can make a clear diagnosis. When the pain is obvious, we can give uric acid-lowering and symptomatic pain medication, and pay attention to low purine diet in daily life; 4.