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Paul Jordan Christo, MD

Director, Multidisciplinary Pain Fellowship Program
Associate Professor of Anesthesiology and Critical Care Medicine
Male
Appointment Phone

410-955-1818

Main Location

The Johns Hopkins Hospital

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Call 410-464-6641 (8a.m. to 6p.m., EST, Mon-Fri)

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Call +1-410-502-0773 (7a.m. to 6p.m., EST, Mon-Fri)

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Titles

  • Director, Multidisciplinary Pain Fellowship Program
  • Associate Professor of Anesthesiology and Critical Care Medicine

Centers & Institutes

  • Blaustein Pain Treatment Center

Expertise

Anesthesiology, Back Pain, Complex Regional Pain Syndrome, Decreased Ovarian Reserve, Disc Pain, Follicle Stimulating Hormone, Elevated, Hair Loss, Head Pain, In Vitro Fertilization, Narcolepsy, Neck Pain, Pain Management, Postherpetic Neuralgia, Sciatica, Shingles Pain, Spinal Pain

Research Interests

Thoracic Outlet Syndrome; Aging and Pain; Pain Education

Biography

Dr. Paul Jordan Christo is an associate professor of anesthesiology and critical care medicine at the Johns Hopkins University School of Medicine. He specializes in treating patients with persistent pain in the spine, cancer pain, neuropathic pain, shingles pain, post-surgical pain and thoracic outlet syndrome.

Dr. Christo is experienced in performing implantations of pain pumps and spinal cord stimulators for the treatment of unrelenting pain. He also has expertise in clinical anesthesia, epidural placement and spinal anesthesia.

He directed the Multidisciplinary Pain Fellowship Program at The Johns Hopkins Hospital for eight years, and directed the Blaustein Pain Treatment Center at Hopkins for five years.

Dr. Christo received his undergraduate degree from the University of Notre Dame and earned his medical degree from the University of Louisville School of Medicine. He completed a residency in anesthesia and critical care at Harvard Medical School and performed a fellowship in pain medicine at Johns Hopkins University School of Medicine. He also has an MBA in health care management from Johns Hopkins Carey Business School. Dr. Christo joined the Johns Hopkins faculty in 2001.

His research interests include the use of botulinum toxin for thoracic outlet syndrome, pain in older adults, the mechanisms of spinal cord stimulation and the application of online educational modules for pain education.

Dr. Christo is an invited lecturer both nationally and internationally, serves on two journal editorial boards and reviews for several others, has published more than 60 articles and book chapters, co-edited three textbooks on pain, and actively teaches medical students, residents and pain fellows. He has been a course director or coordinator for many continuing medical education (CME) programs that focus on educating both specialists and generalists on important aspects of pain diagnosis and treatment.

He has served on advisory boards for the American Academy of Pain Medicine, the American Society of Anesthesiologists, the International Association for the Study of Pain and the American Pain Society.

Dr. Christo was one of eight national pain experts to be selected as an American Academy of Pain Medicine/Pfizer Visiting Professor and was one of six experts from the U.S. and Canada to participate in the Mayday Pain and Society Fellowship Program. Dr. Christo is the host of “Aches and Gains,” a weekly radio talk show on pain and pain relief.

Languages

  • English

Memberships

International Spinal Injection Society

American Academy of Pain Medicine

American Society of Interventional Pain Physicians

American Pain Society

North American Neuromodulation Society

American Medical Association

American Society of Anesthesiologists

American Society of Regional Anesthesia and Pain Medicine

Maryland Society of Anesthesiologists

The Johns Hopkins Medical and Surgical Association

American Society of Addiction Medicine

 

Clinical Trial Keywords

  • Thoracic Outlet Syndrome, Pelvic Pain

Additional Resources

Additional Resources +
  • Education +

    Training

    • University of Louisville School of Medicine (Louisville KY) (1995)

    Residencies

    • Massachusetts General Hospital / Anesthesiology (Boston MA) (2000)
    • Harvard Medical School / Anesthesiology (Boston MA) (1999)

    Fellowships

    • Johns Hopkins University School of Medicine / Pain Medicine (Baltimore MD) (2001)
    • Massachusetts General Hospital / Anesthesiology (Boston MA) (2000)

    Certifications

    • American Board of Anesthesiology / Pain Medicine (2013)
    • American Board of Anesthesiology / Anesthesiology (2012)
  • Research & Publications +

    Research Summary

    Dr. Paul Jordan Christo is researching the use of botulinum toxin for thoracic outlet syndrome, pain in older adults, the mechanisms of spinal cord stimulation and the application of online educational modules for pain education.

    He has published on such topics as post herpetic neuralgia, opioid effectiveness in chronic pain, aging and addiction, cancer pain and complex regional pain syndrome. He is investigating novel therapies for thoracic outlet syndrome, and studying the sexual side effects of chronic opioid therapy, pain medication prescription errors and online educational modules for pain education.

    Selected Publications

    1. Christo PJ, El-Mallakh RS: Role of endogenous Oubain-like compounds in the pathophysiology of bipolar illness. Med. Hypo. 1993; 41:378-383.
    2. Panlilio LM, Christo PJ, Raja SN: Current management of postherpetic neuralgia. The Neurologist 2002;8:339-350.
    3. Block BM, Christo PJ: Ketamine analgesia for the opioid-tolerant cancer patient. The International Journal of Pain Med. and Pall. Care 2003; 2:71-74.
    4. Cohen SP, Christo PJ, Moroz L: Pain management in trauma patients. American Journal of Phys. Med. and Rehab. 2004;83:142-161.
    5. Wu CL, Christo PJ, Richman JM, Hsu W: Postdural Puncture Headaches: An Overview. The International Journal of Pain Med. and Pall. Care 2004;3(2):53-59.
    6. Brown AK, Christo PJ, Wu CL: Strategies for postoperative pain management. Best Practice and Research Clin. Anaesthesiology 2004;18:703-717.
    7. Christo PJ, Hobelmann G, Sharma A: Aging and the Neurobiology of Addiction. Geriatrics and Aging 2005; 8 (10): 48-52.
    8. Christo PJ, Hobelmann G, Maine D: Post Herpetic Neuralgia in Older Adults: Evidence-Based Approaches to Clinical Management. Drugs and Aging 2007: 24 (1):1-19.
    9. Cohen SP, Hurley RW, Christo PJ, Winkley J, Mohiuddin MM, Stojanovic MP: Clinical Predictors of Success and Failure for Lumbar Facet Radiofrequency Denervation. The Clin. Journal of Pain 2007;23(1):45-52.
    10. Christo PJ: Interventional Approaches to Neuropathic Pain. Journal of The Transverse Myelitis Assoc. 2007; April, (2):41-49.
    11. Cohen SP, Christo PJ, Wang S, Chen L, Stojanovic MP, Shields CH, Brummett C, Mao J. The Effect of Opioid Dose and Treatment Duration on the Perception of a Painful Standardized Clinical Stimulus. Regional Anesthesia and Pain Med. 2008: May-June; 33(3):199-206.
    12. Gupta A, Christo PJ. Expert Opinion in Opioid Abuse and Addiction. The Journal for Nurse Practit.: February 2009: 5 (2): 132-134.
    13. Williams BS, Christo PJ. Obstructed Catheter Connection Pin discovered During Intrathecal Baclofen Pump Exchange. Clin. Journal of Pain 2009: March-April; 25 (3):256-259.
    14. Bennett JS, Christo PJ, Friedewald VE, Pool JL, Roberts WC, Scheiman JM, Simon LS, Strand V, White WB, Williams GW. American Journal of Journal of Cardiology Editors Consensus: Selective and Nonselective Nonsteroidal Anti-inflammatory Drugs (NSAIDS) and Cardiovascular Risk. American Journal of Cardiology 2009 (in press). 
    15. Wang J, Christo PJ: The Influence of Prescription Monitoring Programs on Chronic Pain Management. Pain Physician 2009;12.
    16. Carinci AJ, Christo PJ: Physician Impairment: Is Recovery Feasible? Pain Physician 2009;12.
    17. McGreevy K, Williams KA, Christo PJ. “Cephalad Lead Migration Following Spinal Cord Stimulation Implantation.” Pain Physician. 2012; 15:E79-E87.
    18. Manchikanti L, Vallejo R, Manchikanti KN, Benyamin RM, Datta S, Christo PJ. “Effectiveness of Long-Term Opioid Therapy for Chronic Non-Cancer Pain.” Pain Physician. 2011; 14:E133-E156.
    19. Christo PJ, Manchikanti LM, Ruan X, Bottros M, Hansen H, Solanki DR, Jordan AE, Colson J. “Urine Drug Testing in Chronic Pain.” Pain Physician. 2011; 14:123-143.
    20. Manchikanti L, Ailinani H, Koyyalagunta K, Datta S, Singh V, Eriator I, Sehgal N, Shah R, Benyamin R, Vallejo R, Fellows B, Christo PJ. “A Systematic Review of Randomized Trials of Long-Term Opioid Management for Chronic Non-Cancer Pain.” Pain Physician. 2011; 14:91-121.
    21. Gupta A, Martindale T, Christo PJ. “Intrathecal Catheter Granuloma associated with Continuous Sufentanil Infusion.” Pain Medicine. 2010; Jun;11(6):847-52.
    22. Dubois BW, Christo PJ: The placebo effect. In: J. Ballantyne, ed. The Mass. Gen. Hospital Handbook of Pain Management, Philadelphia: Lippincott Williams & Wilkins, 2002.
    23. Christo PJ: Opioid effectiveness and side effects in chronic pain. In: Staats PS, ed. Anesthesiology Clinics of North America: Interventional Pain Management. Philadelphia, PA: Elsevier/W.B.Saunders, 2004, pp 699-713.
    24. Christo PJ, Raja SN: Complex regional pain syndrome. In: Wallace M, Staats PS, eds. Pain Medicine and Management: Just the Facts. New York, NY: McGraw-Hill, 2004.
    25. Christo PJ, Grabow TS, Raja SN: Opioid effectiveness, addiction, and depression in chronic pain. In: Clark MR, Treisman GJ (eds.): Pain and Depression. Advances in Psychosomatic Med., 2004;25:123-137.
    26. Grabow TS, Christo PJ, Raja SN: Complex regional pain syndrome: Diagnostic controversies, psychological dysfunction, and emerging concepts. In: Clark MR, Treisman GJ (eds.): Pain and Depression. Advances in Psychosomatic Med., 2004;25:89-101.
    27. Christo PJ, Hobelmann G: Migraine Headaches, Chronic Pancreatitis, Constipation/Obstipation in Pain Management. In: Kirsch JR, Sibell D (eds.): The 5 Minute Consult for Pain Management. Lippincott series, 2006.
    28. Christo PJ, Hobelmann G: Pelvic Pain. In: Smith HS (ed.): Current Therapy in Pain. Philadelphia, PA: WB Saunders, 2009.
    29. Christo PJ, Jones C: Complex Regional Pain Syndrome. In: Smith HS (ed.): Current Therapy in Pain. Philadelphia, PA: WB Saunders, 2009.
    30. Christo PJ, Cauley B: Post Herpetic Neuralgia. In: Smith HS (ed.): Current Therapy in Pain. Philadelphia, PA: WB Saunders, 2009.
    31. Christo PJ, Mazloomdoost D: Interventional Treatments for Cancer Pain. Annals of the New York Academy of Sciences, New York Academy of Sciences, 1138: 299-328 (2008).
    32. Christo PJ, Mazloomdoost D: Cancer Pain and Analgesia. Annals of the New York Academy of Sciences, New York Academy of Sciences, 1138: 278-298 (2008).
    33. Williams BS, Christo PJ: Pharmacologic and Interventional Treatments for Neuropathic Pain. In: Zhang JM and Dobretsov M (eds.): Mech. of Pain in Peripheral Neuropathy. Transworld Research Network (in press).
  • Academic Affiliations & Courses +
  • Activities & Honors +

    Honors

    America’s Top Doctors, 2011 - 2014

    Top Doctor for Pain Management, U.S. News & World Report, 2011 - 2012

    Super Doctor (Anesthesiology) for the Washington, DC-Baltimore-Northern Virginia Area, 2011 - 2012

    70 Best Pain Management Physicians in America, Becker’s ASC Review, 2011 - 2012

    American’s Top Doctors, Castle Connolly, 2011 - 2012

    Fellow, Mayday Pain and Society Fellowship Program: A Media and Policy Initiative, 2008 - 2009

    America’s Top Physicians, 2008

    Best Doctors in America, Best Doctor physician, 2007 - 2008

    Top Doctor in Pain Medicine/Anesthesiology: Baltimore Magazine, Top Doctors, 2007

    America’s Top Anesthesiologists: Guide to America’s Top Anesthesiologists, 2007

    Americas Top Physicians, Pain Medicine: Guide to Americas Top Physicians, Consumers Research Council of America, 2003, 2006

    Professional Activities

    Reviewer, The Journal of Pain, 2009 - present

    Associate Editor, Pain Physician, 2009 - present

    Editorial Board Member, The Open Geriatric Medicine Journal, 2007 - present

    Referee Panel for the American Academy of Pain Medicine (AAPM) Journal, Pain Medicine, 2007 - present

    Manuscript Reviewer, Pain Medicine, 2006 - present

    Editorial Advisory Board, Pain Physician, 2004-2008 

    Editorial Board, Pain Management

    Consultant Reviewer, Regional Anesthesia and Pain Medicine

    Ad Hoc Reviewer, The Clinical Journal of Pain

    Peer Reviewer, Maryland Society of Anesthesiologists (Maryland Board of Physician Quality Assurance)

    Dannemiller Advisory Board

    Advisory Board, Chronic Pain Perspectives (CHPP), Quadrant HealthCom, Inc

    Archimedes Regional Advisory Board Webcast, Faculty Presenter

    American Pain Society Opioid REMS Educational Initiative

    Pain Assessment and Management Course, 2007, Johns Hopkins Medicine Interactive
    Development of online course and questions for physicians and nurses
    Development of online course and questions for allied healthcare professionals

    1. Neurolytic Procedures, Current Concepts in Cancer Pain Management Symposium, The Center for Cancer Pain Research at The Johns Hopkins University School of Medicine, Baltimore, MD., November 2005
    2. How Do I Treat Neuropathic Pain and Complex Regional Pain Syndrome, Panel Discussant, Annual Meeting of the American Society of Anesthesiologists, Orlando, FL., 2008.
    3. Complex Regional Pain Syndrome: What It Is & How to Treat It, Dialogue With the Experts: An Exchange of Ideas. 25th Annual Meeting of the American Academy of Pain Medicine (AAPM), Honolulu, HI., January 2009.
    4. Christo PJ, Carinci AJ, Christo DK,Freischlag, JA: CT-guided Anterior Scalene Botulinum Toxin injection for Thoracic Outlet Syndrome. 25th Annual Meeting of the American Academy of Pain Medicine (AAPM), Honolulu, HI., January 2009.
    5. Spinal Cord Stimulation: Indications and Evidence-Based Outcomes, Fourth Mediterranean Conference Against Pain, Menorca, Spain, May 2009
  • Videos & Media +
  • Events +
  • Contact & Locations +

    Locations

    The Johns Hopkins Hospital
    600 N. Wolfe Street
    550 North Broadway Room 301
    Baltimore, MD 21287
    Phone: 410-955-7246
    Appointment Phone: 410-955-1818
    Fax: 410-502-6730
    Location Map
    Johns Hopkins Outpatient Center
    601 N. Caroline Street
    Baltimore, MD 21287
    Appointment Phone: 410-955-7246
    Location Map

    Department/Division

    • Anesthesiology and Critical Care Medicine - Pain Medicine

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