Pain Management


Pain Management Clinic

At Orange City Area Health System, it is our goal to help patients reduce their pain and improve their function to get back to doing what they love to do. As an anesthesiologist specializing in pain medicine, I have a special skill set to offer the area to help people deal with their chronic pain issues.

We use a multidisciplinary approach to focus on all aspects of a person’s pain. I work closely with the Physical Therapist in the hospital to help improve patients’ strength, flexibility, and function which helps decrease their pain and reduce the chances of re-aggravating their injury. I also work with the Clinical Pharmacists decide on appropriate medications that can help decrease pain and inflammation or calm revved up nerves in an effort to increase a patient’s function and quality of life. I work closely with our Behavioral Health Providers to help patients cope with the mental stress of dealing with chronic pain including anxiety, depression, and sleep issues.

Along with all these things, I have the skills and training necessary to do various injections and procedures aimed at decreasing a patient’s pain. These include nerve blocks and epidural steroid injections for low back or neck pain and pain shooting down your legs or arms, nerve blocks for things like post-herpetic neuralgia, and joint injections for degenerative-related pain to name a few. With this well-rounded approach, a patient is much more likely to experience a lasting reduction in their pain and return to a level of activity and function that they desire.

You can schedule an appointment by calling the Orange City Area Health System Medical Clinic or by consulting with your family physician.

OCAHS Medical Clinic
1000 Lincoln Circle SE
Orange City, IA 51041


James Jeltema, DO

Anesthesiologist James Jeltema, DO, heads up our Pain Management Clinic. Integrated with family medicine, sports medicine, physical therapy, surgical services, and behavioral health, Dr. Jeltema brings a special skill set to help people deal with their chronic pain issues. The team uses a multidisciplinary approach to focus on all aspects of a person’s pain. This includes working with our clinical pharmacists to decide on appropriate medications that can help decrease pain and inflammation, and working closely with our clinical psychologist to help patients cope with the mental stress of dealing with chronic pain. Our Pain Management Clinic offers various injections and procedures aimed at decreasing a patient’s pain. With this well-rounded approach, a patient is much more likely to experience a lasting reduction in their pain and return to a level of activity and function that they desire.