Understanding Pins and Needles (Paresthesia)

A Patient's Guide to Tingling Sensations and Numbness

Neurology

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Last updated: Mar 24, 2025

What Is It?

Pins and needles, medically known as paresthesia, is a temporary tingling or prickling sensation that typically occurs in the arms, hands, legs, or feet. This sensation often feels like tiny pins are being gently poked into your skin.

Common Causes

Temporary Causes:

  • Prolonged pressure on nerves (sitting or sleeping in awkward positions)
  • Crossed legs for extended periods
  • Falling asleep on an arm

Medical Conditions:

  • Diabetes
  • Multiple sclerosis
  • Carpal tunnel syndrome
  • Vitamin B12 deficiency
  • Peripheral neuropathy

When to Seek Medical Attention

Contact your healthcare provider if:

  • Pins and needles occur frequently
  • Symptoms persist for long periods
  • You experience weakness or pain
  • Tingling affects both sides of your body
  • Symptoms worsen over time

Prevention Tips

  1. Maintain good posture
  2. Take regular breaks when sitting for long periods
  3. Exercise regularly to improve circulation
  4. Maintain a balanced diet rich in B vitamins
  5. Avoid prolonged pressure on nerves

Treatment Options

Self-Care:

  • Gentle movement of affected area
  • Massage
  • Position changes

Medical Interventions:

  • Treatment of underlying conditions
  • Physical therapy
  • Medication (if prescribed)

Long-Term Management

Work with your healthcare provider to identify and address any underlying conditions that may be causing recurring pins and needles sensations.

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