Occasional pins and needles sensation on the soles of the feet may be caused by plantar fasciitis, nerve compression in the lower limbs, environmental factors and other reasons. 1. Plantar fasciitis: It is because the muscles of the sole of the foot are impacted by external forces, or walking or exercising for a long time, which causes localized muscle strain in the sole of the foot, resulting in aseptic inflammation of the local tendons or fascia. Due to the stimulation of inflammation, heel pain can occur. After walking for a long time or more strenuous activities, the pain will be aggravated, and occasionally there is a pins and needles pain. 2. Lower extremity nerve compression: such as lumbar disc herniation, lumbar spinal stenosis or lumbar spondylolisthesis and other diseases, due to the lesions of the disease can compress the nerve roots of the lower extremities, which can appear occasional pins and needles sensation on the soles of the feet. 3. Environmental factors: may occasionally shoes are not comfortable, the soles of the feet are like pins and needles. There are many reasons for this symptom, there may be local nerve problems, it is recommended that patients with occasional pins and needles on the soles of the feet go to the hospital in a timely manner, to clarify the cause of the disease, and comply with the doctor’s instructions for treatment, to avoid delaying the condition.