pinched

sounding as if the nose were pinched; "a whining nasal voice"

very thin especially from disease or hunger or cold; "emaciated bony hands"; "a nightmare population of gaunt men and skeletal boys"; "eyes were haggard and cavernous"; "small pinched faces"; "kept life in his wasted frame only by grim concentration"

not having enough money to pay for necessities

as if squeezed uncomfortably tight; "her pinched toes in her pointed shoes were killing her"