Almost everyone probably experienced the weird feeling of having our hand, leg or foot “fall asleep” which often includes a feeling of numbness or a sensation of “Pins and needles” or the popularly called "tusok-tusok" in the Philippines. Do not panic! This is a very common condition that can happen to just about anyone and is very temporary. It is usually caused when we have sat or slept in an awkward position for too long. Numbness can occur along a single nerve, on one side of the body, or it may occur symmetrically, on both sides of the body. It happens when the blood supply to the nerves is cut off. This is usually when you sit or sleep on part of your body. It lasts only a few minutes. You often get pins and needles in your:

  • arms

  • hands

  • legs

  • feet

Some possible causes of pins & needles are as follows:


Wearing tight shoes or sitting on your foot can give you a numb foot or leg or cause pins and needles. 


It can damage small blood vessels that supply...

Daily Persistent Headache (DPH) or the commonly called "Araw araw na sakit ng ulo" is a type of continous headache that starts suddenly and happens on a daily basis with migraine-like or tension-like features. The headache is often described as a pressure-like or tightening sensation. The pain is often on both sides of the head, but can also be on one side or localized to one specific area.

People with DPH will frequently have sleep disturbance, pain at other sites, dizziness, worsening anxiety and mood, and school absence. Other frequent symptoms include non-specific abdominal pain, back pain, neck pain, and diffuse muscle and joint pain. It can resemble chronic migraine in its features, with days when there is light or sound sensitivity, nausea, throbbing, or pain on just one side of the head. Sometimes, it may resemble a tension-type milder headache without any of those features.

Daily Persistent Headache is...

According to the National Headache Foundation, eating foods that contain tyramine can set off a chain reaction that causes vasoconstriction — or narrowing — of some of the blood vessels in the brain. This vasoconstriction is then followed by dilation — or widening — of the blood vessels. This back and forth narrowing and widening causes the characteristic throbbing of a migraine headache.

One of the items on the migraine foods to avoid list that contain tyramine is aged cheese. which is the process of allowing the cheese to sit for a certain period of time after it's made so it can develop a deeper flavor and a different texture. Different cheeses are aged to different degrees, but as a general rule, aged cheeses are typically harder than fresh cheeses. Some examples of aged cheeses that migraine sufferers may want to avoid are:

  • Parmesan

  • Asiago

  • Pecorino Romano

  • Gruyere

  • Havarti

  • Sharp cheddar

  • Swiss made in Switzerland (Emmental)

  • Fontina

  • Monchego V...

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Medical Affiliations:

Manila Doctors Hospital

Cardinal Santos Medical Center

Chinese General Hospital

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© 2015 by Winnie Lim Khoo MD. Proudly Philippine Made