Bio

Bio


Dr. Huynh is an interventional spine physiatrist at the Stanford University Spine Center, where she specializes in the comprehensive conservative management of spine disorders. She received her medical degree from Albert Einstein College of Medicine. She then completed her residency training in Physical Medicine and Rehabilitation at the University of Pittsburgh Medical Center, followed by an Interventional Spine Fellowship at Stanford University.

Clinical Focus


  • Physical Medicine and Rehabilitation
  • Spine Care
  • Spine Injections
  • Ultrasound Guided Injections
  • Physical Medicine and Rehab

Academic Appointments


Honors & Awards


  • Chief Resident, University of Pittsburgh Medical Center (2013-2014)
  • Best Fellow Abstract, Spine Intervention Society (2014)
  • Excellence in Pain Medicine, University of Pittsburgh Medical Center (2014)
  • President's Citation Award, American Association of Physical Medicine and Rehabilitation (2014)

Professional Education


  • Medical Education:Albert Einstein College of Medicine Office of the Registrar (2010) NY
  • Board Certification: Physical Medicine and Rehab, American Board of Physical Medicine and Rehab (2015)
  • Fellowship:Stanford Hospital and Clinics - PMandR (2015) CA
  • Board Certification, Physical Medicine and Rehab, American Board of Physical Medicine and Rehab (2015)
  • Fellowship, Stanford University, Interventional Spine (2015)
  • Residency:University of Pittsburgh Medical Center (2014) PA
  • Internship:Flushing Hospital Medical Ctr (2011) NY

Publications

All Publications


  • Does Immediate Pain Relief After an Injection into the Sacroiliac Joint with Anesthetic and Corticosteroid Predict Subsequent Pain Relief? Pain medicine (Malden, Mass.) Schneider, B. J., Huynh, L., Levin, J., Rinkaekan, P., Kordi, R., Kennedy, D. J. 2017

    Abstract

    To determine if immediate pain response following an injection with local anesthetic and corticosteroid predicts subsequent relief. Prospective observational cohort. An institutional review board-approved prospective study from a single academic medical center. Patients with clinical diagnosis of sacroiliac (SIJ) pain and referred for SIJ injection were enrolled; 1 cc of 2% lidocaine and 1 cc of triamcinolone 40 mg/mL were injected into the SIJ. Pain score on 0-10 numeric rating scale (NRS) during provocation maneuvers was recorded immediately before injection, immediately after injection, and at two and four weeks of follow-up. Oswestry Disability Index (ODI) was also recorded. Various cutoffs were identified to establish positive anesthetic response and successful outcomes at follow-up. These were used to calculated likelihood ratios. Of those with 100% anesthetic response, six of 11 (54.5%, 95% confidence interval [CI]+/-29.4%, +LR 2.6, 95% CI = 1.1-5.9) demonstrated 50% or greater pain relief at follow-up, and four of 11 (36.5%, 95% CI+/-28.4%, +LR 3.00, 95% CI = 1.4-5.1) had 100% relief at two to four weeks. Fourteen of 14 (100%, 95% CI+/-21.5%, -LR 0.0, 95% CI = 0.0-2.1) with an initial negative block failed to achieve 100% relief at follow-up. Patients who fail to achieve initial relief after SIJ injection with anesthetic and steroid are very unlikely to achieve significant pain relief at follow-up; negative likelihood ratios (LR) in this study, based on how success is defined, range between 0 and 0.9. Clinically significant positive likelihood ratios of anesthetic response to SIJ injection are more limited and less robust, but are valuable in predicting 50% relief or 100% relief at two to four weeks.

    View details for DOI 10.1093/pm/pnx104

    View details for PubMedID 28521006

  • Ideal cervical epidural injection route: interlaminar or transforaminal Curr Phys Med Rehabil Rep Huynh, L., Smuck, M. 2015; 3 (2): 142-150
  • Does FAC predict response to epidural steroid injection Pain Med Huynh, L., Smuck, M., Martinez-Ith, A., Kennedy, D. J. 2014; 15: 1438-1439
  • Low Back Pain in Athletes ACSM Health and Fitness Journal Huynh, L., Chimes, G. P. 2014; 18: 15-22