Toe pain like pins and needles when walking may first be caused by local infection. Patients with nail fungus or nail abscess may experience localized redness, swelling, heat and pain in the toe, and the pain may increase when walking. In addition, pain in the toes when walking may be caused by trauma, such as injury to the tendons and joints of the toes caused by strenuous activity, which may result in swelling and pain in the toes. In addition, patients with gouty arthritis may experience swelling and pain in their toes when they consume foods rich in purines, which may cause an increase in blood uric acid levels, thus triggering gouty arthritis. When these symptoms occur, first of all, you should pay attention to rest and avoid straining, in addition, you can take oral anti-inflammatory and pain-relieving drugs for symptomatic treatment. In addition, further examination is needed to clarify the cause of the disease and to provide targeted treatment.