Closing Discussion
Part of Closed-Loop & Biomarker-Guided Neuromodulation for Spine Related Pain: From ECAPs to Wearables and Remote Monitoring
Details
- Date
- Saturday, January 23, 2027
- Time
- 7:55 AM – 8:00 AM
- Session type
- Breakfast Session
- Schedule
- See this day
About
Closed-loop neuromodulation is evolving beyond fixed-output stimulation toward biomarker-guided therapy that uses physiologic signals (e.g., ECAPs), motion/posture inputs, patient-reported outcomes, and remote monitoring to improve consistency and durability-particularly in axial low back pain where variability and troubleshooting burden are high. This interactive 50/50 pain-neurosurgery panel will translate closed-loop concepts into real-world decision-making. Pain-focused content will cover phenotype-driven dosing, trial-to-permanent transitions, and how to interpret longitudinal data streams (pain interference, function, sleep/activity, "dose," rescue use) to trigger actionable programming changes. Neurosurgery-focused content will address when changing signals or symptoms reflect lead migration, stenosis progression, hardware issues, or target mismatch, and how to triage to imaging, revision, or alternate targeting. Case vignettes will walk attendees through "data-to-decision" pathways for loss-of-efficacy, overstimulation/undertreatment patterns, and complex post-surgical spines. The session ends with a practical follow-up protocol: what to monitor, thresholds for escalation, team roles, and patient communication strategies that preserve trust while leveraging automation.
Presenters
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Sean Li, MD is an interventional pain physician. His clinical interest is neuromodulation. He earned his medical degree from the State University of New York at Stony Brook and underwent residency training in general surgery at the Mayo Clinic in Rochester, MN and later in anesthesiology at the University of Michigan in Ann Arbor, MI. He completed his fellowship at Johns Hopkins University in Baltimore, Maryland. Dr. Li is the immediate past-president of the New Jersey Society of Interventional Pain Physicians (NJSIPP) and is the Vice-President elect of American Society of Pain and Neuroscience (ASPN). He is currently a physician partner at National Spine and Pain Centers (NSPC) and an Adjunct Clinical Associate Professor in the Department of Anesthesiology at Rutgers New Jersey Medical School at Newark, NJ. He is an attending physician at Riverview Medical Center in Red Bank, NJ and Jersey Shore University Medical Center, Neptune, NJ.
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Sean Li, MD is an interventional pain physician. His clinical interest is neuromodulation. He earned his medical degree from the State University of New York at Stony Brook and underwent residency training in general surgery at the Mayo Clinic in Rochester, MN and later in anesthesiology at the University of Michigan in Ann Arbor, MI. He completed his fellowship at Johns Hopkins University in Baltimore, Maryland. Dr. Li is the immediate past-president of the New Jersey Society of Interventional Pain Physicians (NJSIPP) and is the Vice-President elect of American Society of Pain and Neuroscience (ASPN). He is currently a physician partner at National Spine and Pain Centers (NSPC) and an Adjunct Clinical Associate Professor in the Department of Anesthesiology at Rutgers New Jersey Medical School at Newark, NJ. He is an attending physician at Riverview Medical Center in Red Bank, NJ and Jersey Shore University Medical Center, Neptune, NJ.