I have been diagnosed with lupus and Ra but I'm thinking there's more. For as long as I can remember occasionally my skin will feel like there's needles poking me when anything touches me. I have not been able to move my leg tonight at all without intense pain and the "tingle" or whatever you want to call it. I'm crying and usually do at bedtime

I'm so bummed and depressed. I have no idea what is wrong with this skin/muscle issue but I've had enough.
For some people Lyrica, Savella, Levetiracetam has helped with the needles/pins issue--Didn't for me, and the side affects made them not useable for me--I do take the Levetiracetam as the nuerologist said it would help protect me from seizures, which can be brought on by the Trammadol I've taken for years. It is the only pain med that has worked, and kept on working for me. The max dose is 8 50 mg tablets a day, I try to keep it at 5, so that when I have a flair, I can take more and not go over the limit. There are dr's that won't prescribe over 3 tablets a day, they're not in pain.
Have you been diagnosed with fibro? (like you haven't got enough problems to deal with!) Have you been checked for diabetis--that causes the needles/pins, numbness yet painful symptoms. I have diabetic nueropathy
which leaves my feet in agony, and I have to dunk them in cold water about every couple hours (makes sleep very difficult), I also have gel packs I keep in the freezer (I looked up gel cold packs and found them.) They can let me sleep a little longer. Heat used to help, it helps the fibro pain, but it makes the nueropathy pain worse--can't win, sometimes. Sometimes low dose antidepressants can help with the pain, lower dose than for depression. Depression does not cause fibro, we get depressed from being in pain all the time, some dr's have finally figured that out.
All I can suggest is research, research, research. Get yourself informed so these dr's don't walk all over you 'cause they are not informed enough, though things are getting better as more and more research has been done. A good, knowledgeable dr is so important, and you ussually need to see a nuerologist as well, and most often you get sent to a pain management dr.
I'm sorry for the pain you're in--I've battled this for over 22 years and I am sick to death of it. They say it is not progressive, and it won't kill you--but most people it has gotten worse, and though not fatal--there are times you wish it were. I know only too well about crying all night in pain.
One thing I've found that helps with the needles/pins thing is----computer solitaire!! And I can only do one suit, or my brain gets stressed and things get worse! I don't know why that helps, but whatever works!! Prayers and reading the bible help--but it can be hard to read when your brain is screaming in pain, can't think. Different things work for different people, there is no one way of dealing with fibro. God bless, and you can pm me anytime--misery loves company!