Dr. Hanif warmly welcomes you with thanks for a consult! I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns according to the latest medical guidelines. This is unrelated to the blood work for folate. It is due to the excessive usage of the hand in gardening and it has caused an inflammation form normal wear and tear phenomenon that is very common issue. You need to take Ibuprofen by mouth to relieve pain and inflammation. Apply Voltaren Gel on the area and massage gently. Then apply Heat Pad for soothing relief. Apply ThermaCare HeatWraps on the wrist for giving deep soothing heat to the deeper tissues of the wrist. It is a medically proven remedy for patients having this kind of injury. You will be alright in a day or two. Hope I answered all of your questions. Please click on I Find This Answer Helpful and don t forget to add your precious positive feedback to help me able to assist you better in future too. For any disease you have, a timely follow-up regarding the treatment efficacy and to see if there is any need to change the treatment options is very necessary. So keep a follow up to see how you doing. Remember to write down my name in the start of your question next time, & I will be with you right away. I am available 24/7 for providing you expert medical opinion on any health issue. Have a blessed time ahead. Regards! DR. MUHAMMAD HANIF USA FOR DIRECT QUESTIONS: http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70199