Pakistani english is based on an Urdu accent in English. Most Pakistanis speak Urdu as a first or second language and according to the concept of language acquisition a person usually speaks their third language with an accent reminiscent of their second languag.
Pain, Numbness, Tingling, and Weakness of the Upper Extremities. When a patient is experiencing pain, numbness, tingling or weakness in the arms or hands and they do not have a distinct injury in the same area, there are typically three possible causes for those symptoms. The first cause is nerve irritation.
Generally, natural hormonal fluctuations account for most cases of numbness and tingling. This is because estrogen, a hormone whose levels are greatly influenced by menopause, is intimately linked with the nervous system. Thus, when estrogen levels oscillate, tingling extremities are just one possible result.