Brief Answer: Likely be due to compression of nerve Detailed Answer: Hello mam, Thanks for your query, Needle like pain in toes is most likely be due to compression of nerve at your back(due to bulging disc and canal stenosis). I suggest you to consult a spine surgeon for back issues causing needle like pain in toes . You can take combination of pregabalin and methylcobalamin for this neuropathic pain after consulting with your doctor. Hope this will helps you. Let me know if you have any more concern. Take care.