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Difference between Be on pins and needles and Have pins and needles

be on pins and needles —(coll.) be in the state of agitated expectancy:

  • We had been on pins and needles all day long until we received her telegram.

Note:

a) The expression does not correlate in meaning with the phrase be on one’s pins—(coll.) be on one’s feet; be in good health:

  • When I came home after a number of years, I was glad that mother was still on her pins.

b) The expression does not correlate in meaning with the phrase be on the needle—(sl.) be addicted to injectable drugs:

  • My brother’s on the needle, and I want to help him.

have pins and needleshave a pricking tingling sensation in a limb:

  • I have had pins and needles in my left hand for about two weeks now.