Usually means: Tingling sensation from nerve pressure.
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We found 24 dictionaries that define the word pins and needles:

General (19 matching dictionaries)
  1. pins and needles: Longman Dictionary of Contemporary English
  2. pins and needles: Merriam-Webster
  3. pins and needles: Oxford Learner's Dictionaries
  4. pins and needles: American Heritage Dictionary of the English Language
  5. pins and needles: Collins English Dictionary
  6. pins and needles: Vocabulary.com
  7. pins and needles: Cambridge Advanced Learner's Dictionary
  8. pins and needles: Wiktionary
  9. pins and needles: The Wordsmyth English Dictionary-Thesaurus
  10. pins and needles: Infoplease Dictionary
  11. pins and needles: Dictionary.com
  12. Pins and Needles (disambiguation), Pins and Needles, Pins and needles (disambiguation), Pins and needles: Wikipedia, the Free Encyclopedia
  13. pins and needles: Rhymezone
  14. pins and needles: FreeDictionary.org
  15. pins and needles: Mnemonic Dictionary
  16. Pins and Needles: The Word Detective
  17. pins and needles: TheFreeDictionary.com

Medicine (2 matching dictionaries)
  1. pins and needles: Merriam-Webster Medical Dictionary
  2. Pins-and-needles: Merck Manuals

Miscellaneous (1 matching dictionary)
  1. pins and needles: Idioms

Slang (2 matching dictionaries)
  1. pins and needles: Green’s Dictionary of Slang
  2. pins and needles: Urban Dictionary

Definitions from Wiktionary (pins and needles)

noun:  (informal) A tingling or prickling sensation, felt in a limb when a nerve compression is relieved and in other situations.

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