The blood carries nutrients all the cells in that limb, which includes nerve cells. When you cut off circulation for a bit of time, the nerve cells begin to shut down and eventually die. During this shutdown phase, they are unable to send and receive signals, which is why you lose your sense of touch, temperature, and the area goes numb. When you reintroduce blood to the area, the nerves can then send the “something’s wrong” signal, which is the pins and needles sensation you get.
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