Pins and needles pain in the back may be related to intercostal neuritis, pleurisy, ankylosing spondylitis and so on. 1. Intercostal neuritis: It is mostly seen in the inflammatory lesions of intercostal nerves caused by viral infection, injury and other factors, resulting in the symptoms of intercostal neuralgia. It can be manifested as pinprick pain in the innervated area of intercostal nerves, which is aggravated by coughing and deep breathing. 2. Pleurisy: when the pleural cavity is inflamed due to various reasons, if it causes pleural thickening and inflammatory adhesion, there will be stabbing pain in the back when inhaling forcefully or coughing violently, often accompanied by fever, cough and other discomforts. 3. Ankylosing spondylitis: When ankylosing spondylitis occurs in the spine due to genetic and environmental factors, the nerve roots are compressed and intercostal neuralgia is easily seen. It is characterized by pins and needles pain in the back. If you have pins and needles pain in the back, it is recommended that you seek medical attention, follow the doctor’s instructions for further examination, and carry out targeted treatment or therapy with the doctor’s help.