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.
Affected legs (or arms) can be pale, with blue/red discoloration, cold, painful, tingling or numb. Buergerâs disease usually develops in heavy male smokers (20-40 years of age) and cause pain, numbness and tingling in the feet and/or hands triggered by exercise and relieved by rest; ulcers on fingers/toes may appear.