A reference to the sharp tingling senstation one feels when a body part hasn't been moved for a while or when it's been pressed up against something in the wrong way.
Example 1:
Referenced in the movie PCU.
A character named 'Pigman' sits on a couch in front of a TV for seemingly days without getting up. When he finally gets up, he realizes that his body is so cramped from being still that he quickly falls to the floor and shouts out:

"Pins and needles!...Pins and needles!"

Example 2:
Referenced by the rock band Blur in a song called "Song 2":

"When I feel heavy metal
And I’m pins and I’m needles
Well I lie and I’m easy..."
by ChicagoJoe February 17, 2006
The intense, painful feeling you get all throughout your body after you shoot up a little too much heroin, that feels like thousands of pins and needles stabbing you all over, especially your head and hands, and a full body burning sensation
I did a huge dope shot and got really bad pins and needles
by notnomore November 26, 2006
person 1:dude did you hear that new billy talent song pins and needles

person 2: yea it was pretty awesome eh
by Mike Jaworski September 6, 2006
waiting for something very anxiously.
I was on pins and needles when I was waiting to go to Disneyworld.
by Mian Hu January 11, 2009
Tingling or prickling, “pins-and-needles” sensation; usually temporary, often occurs in the arms, hands, legs or feet.
Got pins and needles I'm my arms and hands
by ... Zjdbckdnznsjd September 17, 2019
This happens when your foot(s) fall asleep (when the veins collapse for an extended period of time) and your skin gets numb. When you walk, it feels like pins and needles.
Guy 1: (bad emotion)
Guy 2: What's the matter?
Guy 1: I'm walking on pins and needles.
Guy 2: Sit down and rest your legs for a minute.
(1 minute later)
Guy 1: That feels better!
See also: pins and needles
by elevatorfan7072 August 3, 2012