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.
The upper extremity is a term used to define the upper limb. This includes the shoulder, arm, forearm, wrist and hand. The hand is a very complex part of the body, and all of the parts of the upper extremity are essential to functioning hands. Within the upper extremity, there are bones, joints, muscles, nerves, vessels and tendons that tie all of the parts together.