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.
Compression of these nerves as they arise from the spine or along their route through the neck and arm can cause tingling in the arm and hand. Subacromial bursitis is inflammation of the bursa between the upper arm bone and the roof of the shoulder joint formed by the shoulder blade.