- Spine
- Business of Medicine
Multimodal Neuromodulation: Evolution or Escalation?
Details
- Date
- Friday, January 22, 2027
- Time
- 4:00 PM – 5:30 PM
- Room
- Milano Ballroom III & IV
- Session type
- Panel Session
- Schedule
- See this day
About
Neuromodulation is moving from a single-device "one target, one therapy" model to an integrated approach where SCS, DRG stimulation, and PNS are selected and combined based on pain phenotype, coverage needs, and durability goals. This panel will examine how and when to deploy multimodal neuromodulation strategies in chronic pain, the evidence supporting component modalities, and how closed-loop/adaptive systems and programming approaches may reduce failures and reinterventions. The discussion will emphasize practical clinical algorithms, evidence gaps, and real-world outcomes needed to support broader adoption.
Learning objectives
- Discuss the need for combination therapy and explain whether combining neuromodulation modalities (such as SCS, DRG, or PNS) may improve neural targeting compared with using a single approach.
- Apply anatomical principles to guide selection and integration of SCS, DRG, and peripheral nerve stimulation in chronic pain management.
- Identify outcomes and health-system metrics (reintervention, explanation, utilization, cost signals) that best support value-based justification of multimodal strategies.
Faculty
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Salim Hayek, MD
Vice Chair for Clinical Research
Universiy Hospitals Cleveland Medical Center · Cleveland, Ohio
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