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.
Quick Answer. Causes of upper arm pain include shoulder bursitis, biceps tendinitis, impingement syndrome and tennis elbow, according to the National Institute of Arthritis and Musculoskeletal and Skin Diseases. Pain can start near the shoulder and travel down, or start at the elbow and travel toward the shoulder. Keep Learning.