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Shaky hand and thumb??

Recently I have been noticing that I my hand, mainly my thumb, has been shaking very slightly both when I am holding an object such as my phone, or nothing at all.   This mainly has been happening in my left hand which is my dominant hand.  If I were to hold my tooth brush between my index finger and my thumb I notice that it shakes.  

I also have been having some shoulder pain as well, which has been mainly in my left shoulder.  The pain is there when I lift up my arm and hold something up.  In May 2016, I have been diagnosed with carpal tunnel syndrome as well.  

When my hand has thumb shake it is when I am extending it out or am holding something.  It is not noticeable unless you are focusing on it.  Also when my hand shakes i can feel it slightly in my shoulder as well.  Is this something to be worried about? I am 24 years old and male.
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