The common clinical causes of chest pain like pins and needles include breast diseases, spontaneous pneumothorax and myocardial ischemic diseases. 1. Breast diseases: the common clinical causes include breast hyperplasia, breast tumor, breast tuberculosis, etc. All of the above mentioned diseases may cause women to have the symptom of “pins and needles” like stabbing pain. 2. Spontaneous pneumothorax: this disease refers to the rupture of the lung parenchyma or the pleura of the visceral layer without the influence of traumatic factors, which will cause the air from the lung to enter the thoracic cavity through the visceral layer of pleura and lead to the accumulation of air in the pleural cavity, which will cause the collapse of the lungs, and the clinical manifestations include tightness in the chest, chest pain, irritating cough, dyspnea, and so on. 3. Myocardial ischemic diseases: clinically common such diseases are variant angina pectoris, myocardial infarction, etc. The main manifestation of such diseases is the anterior region of the heart strangulation, the recurrence of chest symptoms of needle-like stabbing pain is less, but still need to pay attention to. In severe cases, it is recommended to consult a doctor for diagnosis and further treatment.