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.
Traumatic causes of upper arm pain. A number of common injuries can cause upper arm pain including: Broken bones, such as a fractured humerus. Burns. Contusions. Dislocated or separated joints, such as a dislocated shoulder or separated shoulder. Herniated intervertebral disc (ruptured or slipped disc).