Published on: 4/28/2025
Pins and needles at night can be caused by temporary pressure on nerves from your sleeping position or by certain nerve-related conditions. These sensations may also be linked with specific conditions like notalgia paresthetica or restless leg syndrome.
When you feel pins and needles, it is like a little tingly zap all over your body, especially at night. This often happens when you sleep in a way that puts pressure on your nerves, similar to how your arm feels when it "falls asleep." When pressure on a nerve eases, you might feel tingling all over your body. Sometimes, these feelings are not just from pressure. Certain conditions can also cause nerve signals to act weirdly. For example, notalgia paresthetica is a condition that can make the skin on your back feel tingly even without any changes on the skin surface. Other conditions like restless leg syndrome can cause your legs to feel uncomfortable and tingly at night too. Often, these symptoms are harmless and pass on their own. However, if the tingling keeps happening or you feel worried, it might be a good idea to talk with a doctor who can check to see if there is a more specific reason behind these sensations and suggest ways to help you rest better at night.
(References)
Guinand S, Pedrazzini B, Heinzer R, Cornuz J, Favrat B. "Docteur, j'ai mal et des fourmis dans les jambes le soir..." [Doctor, I have pain and pins and needles in my legs at night]. Rev Med Suisse. 2013 Nov 27;9(408):2212-7. French. PMID: 24383246.
Tihanyi BT, Ferentzi E, Beissner F, Köteles F. The neuropsychophysiology of tingling. Conscious Cogn. 2018 Feb;58:97-110. doi: 10.1016/j.concog.2017.10.015. Epub 2017 Oct 31. PMID: 29096941.
Bacci ED, Currie BM, Wilson R, Qian J, Munera C, Nograles K. Understanding the patient experience of living with notalgia paresthetica: A qualitative interview study. JAAD Int. 2022 Jul 1;8:94-101. doi: 10.1016/j.jdin.2022.04.003. PMID: 35812170; PMCID: PMC9256643.
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