Prolonged rib pain like pinprick may be caused by rib fracture, intercostal neuritis, costochondritis and pleurisy. 1. Rib fracture: mostly caused by trauma, it mainly manifests as chest pain and pinprick pain in the ribs, which can be aggravated by deep breathing and coughing. 2. Intercostal neuritis: the pain is distributed along the intercostal area, manifested as one or two rib areas pain, stinging or burning pain, may also be caused by herpes zoster virus infection, and will be aggravated by deep breathing and coughing. 3. Costochondritis: mainly manifested as pain in the anterior chest, the pain site is fixed, occasionally pinprick pain, can also be radiated to the back, pressure on the costochondral cartilage pressure pain. 4. Pleurisy: manifested as chest pain, chest tightness, pain is pinprick pain, and accompanied by cough, sputum and other symptoms. There may be other causes of prolonged pins and needles pain in the ribs, which should be examined in time in the hospital, usually X-ray or chest CT, and it is recommended that a professional doctor take the appropriate treatment according to the condition.