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.
Dr. Klemeyer: Anytime someone has actual lower extremity symptoms of pain, numbness, tingling, burning, or loss of function for a week or more warrants a visit to the foot doctor. The best case scenario is when the pedorthist and podiatric physician can work together to optimize the patient's biomechanics..