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.
Tingling : Tingling and numbness that affects half of the body (which most people mean as including an upper limb, a lower limb, one side of the trunk, and sometimes one half of the face) can be caused by a problem in the brain or spinal cord. A pinched nerve can not cause those sorts of problems.