I've have numbness/tingling in my middle finger for 24+hrs. i also have a shooting pain from my forearm to my shoulder at random times. could it be carpal tunnel? who should i go to first for this issue?

Start with your primary care provider for an assessment of your general health and an evaluation of your symptoms to determine if you need to see a specialist. In the meantime, start exercising. Begin with low intensity exercise such as walking and gradually increase the intensity so that you sweat profusely. It may take a few months for the full effect. Wish you good health!

Since this is recent, a physical exam by your physician will help. Yes, it could be the start of carpal tunnel syndrome, but could solely involve local digital nerves, and location might point to C7 radicular problem. Since different management approaches will be needed for the correct diagnosis, get this clarified and then approach solutions.