The present disclosure provides systems and methods for neurostimulation. The method includes applying electrical stimulation to a patient using a paddle lead that includes a plurality of electrodes, acquiring local impedances associated with at least some of the plurality of electrodes, wherein the local impedances are indicative of electrode-tissue contact and effectiveness of the electrical stimulation, transmitting the local impedances data to a computing device, and processing the local impedances data using the computing device to adjust the amplitude of stimulations and electrode configurations, and monitor electrode-tissue contact status over time.
