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.
Below is a list of causes of peripheral neuropathies with arm or leg numbness or tingling as common symptoms: 1  Diabetic peripheral neuropathy (in diabetes I or II): âstocking-gloveâ (feet-hands) pattern of numbness. 2  Alcoholic neuropaty: long term excessive alcohol drinking, burning feet, wide-based gait.