I have needles and numbness in my toes also. More a discomfort than pain. Mine seems more apparent at evening than morning and seems concentrated in outer toes. Have no back pain whatsoever and x-rays of my spine has been normal. May be due to statins I have been on or antibiotics taken.
Will be seeing a neurologist soon after my regular doctor, sports medicine doctor, podiatrist and physical therapist have not helped. Lyrica and neuronton have not helped. Trying B12 methylcobalamin supplements now. Just read today vitamin K deficiency can also occur due to meds.