Sleeping at night with a sudden pain in the feet like pins and needles need to choose the appropriate treatment according to the specific causes, common causes are muscle ligament injury, trauma, peripheral neuritis, gout, etc., mainly including general treatment, drug treatment, etc.. 1. Foot muscle ligament injury: inadequate warm-up preparation, improper posture or excessive exercise can cause foot muscle and ligament injuries, which can lead to sudden stabbing pain in the feet, which can be relieved by relaxing the feet, applying hot compresses and resting sufficiently. 2. Trauma: If there is a foreign body in the foot or a small wound, it can cause pinprick pain in the foot, which should be taken out in time, sterilized and bandaged. 3. Peripheral neuritis: malnutrition, drug poisoning can cause peripheral neuritis, peripheral nerve damage can also cause pins and needles pain, at this time you can use neurotrophic drugs, such as vitamin B1, vitamin B12, nerve growth factor and so on. 4. Gout: When gout occurs, uric acid in the blood can be deposited in the peripheral joints and surrounding tissues, such as deposition in the feet, there will be a foot at night suddenly like pins and needles like stabbing pain. At this time should pay attention to low purine diet, can take non-steroidal anti-inflammatory drugs (such as aspirin), colchicine. Sleeping at night with feet suddenly like pins and needles pain is also related to other diseases, it is recommended to consult a doctor in a timely manner, to clarify the cause of the disease, standardized treatment under the guidance of the doctor. The above drugs should also be taken under the guidance of a doctor.