Intermittent pins and needles pain at the back of the ear may be related to local muscle spasm, otitis media, neuritis, etc., which can be relieved by hot compresses or medication, and it is recommended to seek medical attention as early as possible. 1. Local muscle spasm: may be cold and other factors caused by local muscle spasm, intermittent pinprick pain behind the ear, you can use a hot towel to apply a compress, generally will improve. 2. Otitis media: Inflammation inside the ear infection will also have the phenomenon of stinging pain, patients can use ofloxacin ear drops to relieve symptoms, can also take oral cefaclor extended-release tablets. Severe otitis media also requires surgical treatment. 3. Neuritis: Neuralgia may be caused by inflammation of the peripheral nerves of the ear, and vitamin B1 can be taken orally to nourish the nerves, as well as ibuprofen extended-release capsules and so on to relieve pain. All of the above drugs should be used under the guidance of a doctor. There are other possibilities for interstitial pinprick pain at the back of the ear, and it is recommended that you consult a doctor when the symptoms persist or worsen, and cooperate with the doctor’s treatment after clarifying the cause.