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.
1 Upper arm burning sensation and Sensory symptoms (7 causes). 2  Upper arm burning sensation and Upper arm numbness (7 causes). 3  Upper arm burning sensation and Cheek pain (7 causes). 4  Upper arm burning sensation and Elbow burning sensation (7 causes).