There are many possible reasons for the occasional pins and needles sensation on the bottom of the foot, the most likely reasons are twofold: 1, may be caused by plantar fasciitis, due to the plantar fascia and the heel node junction where often stretched, and then lead to small lacerations, a long time under the influence of local aseptic inflammation and lead to pain, this pain will generally feel like pins and needles, the most significant feature is that in a sudden 2, may be the plantar skin sensory abnormalities, commonly caused by nerve compression in the lower limbs, such as lumbar disc herniation, lumbar spinal stenosis or lumbar spondylolisthesis and other diseases, will compress the nerve roots of the lower limbs, and then there will be a pins and needles feeling on the soles of the feet. In addition to the two most likely causes mentioned above, occasional pins and needles sensation on the soles of the feet may also occur due to heel fatty fibrositis, heel bone spurs, heel disease, talar heel arthritis, etc.