A squashed cable
Why Does Your Foot Go to Sleep?
Sitting on a nerve interrupts its signals, and the pins and needles are the signals coming back.
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Step 1 of 5
Nerves are cables, and cables can be pinched.
Sensation travels as electrical signals along long fibres. Pressing hard on a nerve where it runs near a bone squeezes those fibres shut.
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Step 2 of 5
Numbness is the absence of a signal.
Your foot has not gone anywhere. Your brain simply stops hearing from it, and a limb it cannot hear from feels absent and heavy.
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Step 3 of 5
Blood supply matters less than you think.
People assume it is blood, but pressure on the nerve itself is the main cause. Nerves are more delicate than the vessels beside them.
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Step 4 of 5
Pins and needles are the restart.
When pressure lifts, fibres wake up unevenly and fire bursts of nonsense at once. Your brain reads that noise as prickling.
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Step 5 of 5
It fades in a fixed order.
The thick, fast fibres recover first and the fine ones last, so the sensation goes tingling, then aching, then normal — usually within minutes.
Numbness that arrives without pressure, or does not fade, is worth a doctor's attention — that is a different problem entirely.
The short version
Sitting on a nerve blocks its signals, so the limb feels absent, and the pins and needles are its fibres restarting out of order.
Try it yourself
Rest your elbow on a hard table for a minute. The tingling in your little finger is the same nerve, squashed at the elbow.
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