Inclusion Criteria:  Signed informed consent from the patient exclusively and not a legal representative Clinically diagnosed with De Quervain's VAS score of at least 40mm pre-injection Life expectancy greater than 1 year  Exclusion Criteria:  Having previously undergone steroid injection in the treatment of De Quervain's Having previously undergone surgery for De Quervain's in the affected wrist Having previously undergone steroid injection and failed in the treatment of trigger finger Allergies to lidocaine or dexamethasone Underlying serious medical conditions that would place the patient at risk Past history of hypothyroidism or rheumatoid arthritis Pregnant women Prisoners