There are two most common reasons for needle-like pain in the neck: First, long-term head down causes muscle strain in the back of the neck, which causes fasciitis in the back of the neck, and there may be needle-like pain in the back of the neck with fasciitis in the back of the neck. Second, cervical spondylosis, if there is a nerve root type of cervical spondylosis, nerve root compression leads to nerve damage, the damaged nerve root appears radioactive pain, may also be radiated to the neck and shoulder pins and needles-like pain. Once these symptoms appear, we must first find the cause to see what causes it, if we can check the cervical spine MRI to clarify whether there is nerve root compression, if these are ruled out, we must first consider cervical and back fasciitis, you can do cervical spine health exercises and improve lifestyle habits, more neck exercises such as playing badminton, kite flying, these movements can effectively relieve the symptoms of cervical and back fasciitis. You can also apply anti-inflammatory and analgesic drugs to relieve the symptoms, such as topical Babu cream or oral anti-inflammatory and analgesic drugs.