Hello, Thanks for writing to us A feeling of pins and needles indicate a compression of your nerves or a general problem with your nerves, such as that caused by diabetes or vascular problems. The compression of your nerves may be located in different areas of your body. Numbness on the outside or top of your foot may be due to the compression of a nerve in your lower back or around your knee. Your doctor may also prescribe professional rehabilitation where the problems that are causing your symptoms will be evaluated and treated. Your physical therapist may suggest the use of heat, ice, and ultrasound to help calm pain and swelling. I do hope that you have found something helpful and I will be glad to answer any further query.