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.
A tingling sensation in the upper or lower arm may often be indicative of a compression at the level of C5 while compression at level of C6 may result in tingling in the forefinger and thumb. Compression of the C7 and C8 is linked with tingling sensation in the other fingers of the hand.