Pins and needles sensation of chest pain consider chest lesions that irritate the nerves in the chest, which may be caused by diseases of the chest wall or diseases within the chest wall. Chest pain sensation often occurs in some diseases of the chest, but it is mostly hidden pain, dull pain or pressure pain, such as myocardial infarction, angina pectoris and so on. Needle-like chest pain can be seen in chest wall diseases, such as pleurisy, pleural tumors, etc. Local inflammatory stimulation or tumor stimulation of the chest wall nerves, often accompanied by respiratory movements. Viral infection or inflammation of the chest wall nerve itself may cause irritating pain. Can also be seen in the chest wall diseases, such as lung tumors, tumors continue to invade the lung tissue, nerves, etc., tumor necrosis factor continues to stimulate the nerves, will trigger pinprick pain, and accompanied by coughing, coughing up sputum, hemoptysis and other symptoms. Although the possibility of myocardial infarction is unlikely to be considered, it is still necessary to be alert to the possibility of other diseases, and it is recommended to consult a doctor in a timely manner to clarify the diagnosis.