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.
While not a common menopause or postmenopause symptom, experiencing tingling extremities can be unsettling and unpleasant. This tingling can affect any part of the body, though it commonly occurs in the feet, legs, arms, and hands. Tingling extremities during menopause are usually the result of hormone fluctuations. Fortunately, most cases of tingling extremities during menopause and postmenopause do not indicate a more serious underlying condition.