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.
A person with a burning sensation of the extremities usually has irritation or inflammation of the skin, muscles, bones or joints in the arm. Simple extremity injuries such as muscle strains and ligament sprains may cause a burning sensation in the extremities. An infection of the skin called cellulitis can also cause a burning sensation of the extremities. Other important causes include peripheral vascular disease, peripheral neuropathy, diabetic nerve disease, multiple sclerosis, Raynaud's syndrome, drug side effect, disk disease in the neck, and herniated disk in the back.