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 positive test of pain radiating into the upper extremity towards the same side that the head is laterally flexed would indicate pressure on the nerve root. The patient should be seated with their neck side bent/rotated towards the ipsilateral side. The examiner should then carefully provide a compression force straight through the head to determine if symptoms are provoked. Repeat on the opposite side.