what can this be? Pins and needle, prickling, burning sensations..... help

Hi, I have these exact symptoms. I get it in my head every day and my body almost every day. I also get the muscle twitches and fatigue. It’s incredibly difficult to deal with, especially not knowing what on earth causes it and feeling like it will never end. I have thought that it could be fibromyalgia. I have also thought it could be an underlying auto immune disease. I have begun a diet that some are using for autoimmune that is nothing but meat and green veggies. I have no idea if it will work but I have to try something. Gabapentin didn’t do much for me :-(

I suggest you ask to have the punch biopsies done to check for small fiber neutropathy.  Like you, I had all those symptoms but tests were normal until they did that one.  Also have your B vitamin levels checked, esp,B-12. 

Hi Nicole I am very similar ,I woke up Dec 11th 16 with puns needles in my feet within hours to my knees then into both hands the tingling pins needles feeling is none stop it is never not there ,I've had brain and spine mri nerve studies emg numerous bloods all normal yet this goes on its 19 months on 11th July ,I'm mentally drained nothing I've tried has helped I'm 8 weeks into trying cymbalta with no relief ,sum days I cope better than others it's far worse in bed or sitting ,I've seen 5 different neuro none can explain what happened to me but likely small fibre neuropathy I'm demanding punch biopsy next as I see neuro again in 2 weeks ,I've seen on many groups other women similar but none like me with such rapid onset ,a lot are menopausal as this can cause tingling 50 percent of cases of small fibre are no cause found idiopathic ,I believe it is my own body auto immune that is killing off my nerves I've tried every vitamin nothing helps thus has totally ruined my life

A nerve biopsy would pick up small fibre neuropathy.  I have neuropathy in my hands and arms due to injuries.  Hot weather is the best remedy to get rid of it for me. I was offfered low dose antidepressants butwhen I saw the side effects I decided against medication.   During colder weather, when I feel it mire, I just ignore the pain and tingling.

I also suffer from symtoms of Nuropathy in my legs. Feels like ants crawling under my skin, prickling and burning. I cannot bear clothes on my legs, bed covers are a nightmare also. It is very difficult when i am out as one has to wear clothes. All i can do is distract myself. Nobody i know understands and i am sure they don't beleive me. I was taking Gaberpentin but now i take Pregabilin which is similar. It does help and i wouldn't sleep without them, when asleep is the only time i am not suffering and i only sleep about 5 hours a night!!! I have had several surgeries on my knees and i was told by my Consultant that it's nerve damage. There is no cure for Nuropathic pain, i only hope that anyone suffering can share what helps them. Thinking of all those that suffer because it is a debilitating condition and rules ones life.