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.
In such cases, tingling may be a sign of nerve damage, which can result from causes as varied as traumatic injuries or repetitive stress injuries, bacterial or viral infections, toxic exposures, and systemic diseases such as diabetes.n diabetic neuropathy, tingling and other symptoms often first develop in both feet and go up the legs, followed by tingling and other symptoms that affect both hands and go up the arms.