Hand tingling like pins and needles may be caused by peripheral neuritis, rheumatoid arthritis and frostbite, and should be treated with medication and physical therapy as prescribed by the doctor. 1. Peripheral neuritis: severe diabetes can lead to peripheral neuritis, causing tingling, numbness and other symptoms of the hand, should be given hypoglycemic drugs such as metformin, acarbose and other control of blood glucose, and at the same time can be supplemented with methylcobalamin, vitamin B1 and other nutritive nerve drugs. 2. Rheumatoid arthritis: Rheumatoid or rheumatoid arthritis can involve all the joints of the limbs, causing tingling pain in the joints of the hands and feet, accompanied by joint deformity, impaired mobility and other symptoms, oral nonsteroidal drugs such as ibuprofen can be taken to relieve the pain, and at the same time, anti-rheumatic treatment. 3. Frostbite: due to the cold weather hand cold, peripheral vasoconstriction, can lead to local ischemia, frostbite, there will be hand tingling like pins and needles, should improve the environment around the hand, appropriate hot compresses, pay attention to the hand warmth, and gradually alleviate the symptoms of frostbite. Hand tingling like pins and needles, there may be other causes, it is recommended that patients go to the hospital in a timely manner, after a clear cause for targeted treatment, the above medication should be used under the guidance of a doctor, do not blindly use their own medication.