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.
Stress fractures of the upper extremity may occur in sports involving repetitive use of the arms, such as baseball or tennis. Stress fractures of the ribs occur in sports such as rowing. Upper extremity and rib stress fractures are far less common than lower extremity stress fractures.1.