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When you lie on your arm, you cut off the blood supply to it due to the weight of your body compressing the arteries that serve your hand. When you do this when you are awake, you feel pins and needles.

Due to the lowered state of conciousness that you experience in sleep, you are not aware of this sensation as strongly, leading to a decrease in oxygen being delivered to the hands to the point where nerves and neurones in the hand stop firing correctly, leading to the loss of proprioception and sensory input to the brain from your hand, causing you to wake.

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Q: What causes Hands going to sleep during sleep?
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