Pins and Needles is a 1937 musical revue.
Pins and Needles may also refer to:
- Pins and needles or paresthesia, a physical sensation of tingling, pricking, or numbness
- Pins and Needles (Birthday Massacre album), or the title song, 2010
- Pins and Needles (Chris Caffery album), or the title song, 2007
- "Pins and Needles" (song), by Opshop