Etymology

touch a nerve

Today it means: To make a remark or perform a deed which produces a strong response, especially an emotional response such as anxiety or annoyance, because it calls to mind something which has been a source of concern or embarrassment. Full definition →

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The story

An allusion to the sharp sensation felt when a dentist or surgeon physically disturbs an exposed nerve.

Etymology from Wiktionary, CC BY-SA 4.0.