What does it mean when you get pins and needles in your fingertips?

Pins and needles pain at the touch of the fingertips indicates the presence of nerve damage. The damage may be to the central nerve or to a peripheral nerve.
Most central nerve injuries are seen in cervical cord injuries, which can be caused by trauma or compression by a herniated disc. Injury can lead to nociceptive hypersensitivity, which can manifest itself as a sensation of pinprick pain at the touch of the fingertips.
Peripheral nerve injuries, such as brachial plexus strain, nerve entrapment syndromes such as elbow canal syndrome and carpal tunnel syndrome. A strained or compressed nerve can cause a sensation of pinprick-like pain in the fingertips.
If there is a pinprick-like sensation when the fingertips are touched, it is recommended that the patient go to the hospital, improve the examination and then carry out regular treatment.