<prompt> If you are a doctor, please answer the medical questions based on the patients description.I get pins and needles in my hand every night whilst sleeping. It is very painful and seems to reach to each elbow. I have recently found that sleeping on my back alleviates the problem somewhat, but I cant sleep comfortably in this position. I am 55 years old.  <response>: Hello, If you are continuously having such pin and needle sensations then it can be due to- -Compression of nerves in neck due to either disc issues or due to cervical spondylosis-Diabetes-High blood pressure-Thyroid issues I shall advise you to consult to your doctor and have an x-ray of your neck region to rule out spondylosis or any other issues. Till then, you can take a mild analgesic like ibuprofen for relief in pain. You should also start taking some supplements like erosion for at least one to two time a day. Wearing a soft cervical color and neck exercises may help you. Hope I have answered your query. Let me know if I can assist you further. Take care 