Emergency first. Chest pain, a sudden severe headache, weakness or numbness on one side, trouble speaking, a loss of bowel or bladder control, or a head injury with vomiting or worsening confusion is an emergency room trip right now, not a call to a clinic.Chest pain, one-sided weakness, trouble speaking, or a head injury with vomiting or worsening confusion is an emergency room trip now, not a clinic call. Call 911.

Emergency first. The ER signsCall 911

Chest pain, a sudden severe headache, weakness or numbness on one side, trouble speaking, a loss of bowel or bladder control, or a head injury with vomiting or worsening confusion is an emergency room trip right now, not a call to a clinic.

A river city reportSt. Louis, Missouri
STL Spine Report Published for Missouri Injury Clinic, Joseph L. Hollingsworth, DC

Filed from the river city

After a wreck in St. Louis, your spine files a report of its own.

This desk covers one story: what happens to a body in a St. Louis car crash, and why the smartest move afterward is a documented exam this week, not a wait-and-see month. The clinic behind the masthead is Missouri Injury Clinic, with an office on Tesson Ferry on the south side and two more across the metro.

Get seen this week → See all three offices

Tesson Ferry office: (314) 530-5480. Closed 12 to 2 daily, so call in the morning or after 2.

The Gateway Arch on the horizon at sunset, seen across the wide Mississippi River from the riverbank
The Arch from the riverbank at dusk. A city view, not a clinic photo: this desk covers the whole river city, both sides of the water.

The beat

01

Crashes on every road in the metro

I-44, I-55, I-64, I-70, Gravois, Kingshighway, Lindbergh, Tesson Ferry, and every side street between them. The pattern is the same on all of them: adrenaline hides symptoms at the scene, and the neck, the low back, and sometimes the brain report in over the following days. Read the corridors.

02

Why this week, not next month

A crash injury examined this week gets two things a crash injury examined next month does not: a treatment plan started while the tissue is most responsive, and a dated record that connects the findings to the collision instead of to a shrug. A documented exam this week protects your health and your options. Read the record.

03

One action this desk asks for

Call an office, say it was a car crash, and get examined. You do not need to have decided anything about a claim before you get examined. The record is a care document first; it exists so the next clinician works from facts, not memory. Read the first visit.

The numbers desk

41,274 crashes in the county and the city in one year. Here is what the count says.

Missouri State Highway Patrol, 2023
St. Louis County, 202327,720reported crashes, 6,447 of them injury crashes
St. Louis City, 202313,554reported crashes, 3,647 of them injury crashes
3 p.m. to 6 p.m.24.9%of Missouri's crashes, statewide, in three hours of the day
St. Louis County and City combined, 2019 to 2023Table 1.13. Crashes per year, county and city added together.Fatal or personal injury crashesProperty damage only
201947,786
202038,077
202142,799
202238,762
202341,274

The report now keeps a numbers desk. Every count comes from a named table in the Missouri State Highway Patrol's Traffic Safety Compendium, and 2023 is the latest year the Patrol has published. The counts are crashes, not people and not rates, and a crash filed as property damage only was filed before anyone was examined.

No clinic is rated or ranked on these pages. They are here so a St. Louis driver can see how ordinary the injury crash is: 10,094 of them in the county and the city in 2023.

10,094The numbers deskCounty and city injury crashes, 2023, and what the count is not.Read the numbers13.4%Five years, 2019 to 2023The drop in county crashes, and why injury crashes fell more slowly.Read the numbers209Inside the city limitsInjury crashes in Hazelwood and every St. Louis County municipality.Read the numbers

Sources: Missouri State Highway Patrol, Missouri Traffic Safety Compendium 2023, tables 1.13, 1.16, and 17.01. Shares are this desk's arithmetic on the published counts.

Contents

Every page of the report, in reading order.

Fifteen pages, one beat
01Day one

After a St. Louis wreck, day by day

What the body does in the hours and days after a collision on a metro road, and why feeling fine at the scene is a reading of your adrenaline, not your spine.

Read the page02The lag

The 72-hour lag

Why neck and back pain after a crash so often files late, and what that delay means for the week you have in front of you.

Read the page03The brain

Concussion without a windshield

A brain can be injured by a stop, not just a strike. The signs to watch for and the rehab lane the clinic publishes.

Read the page04The visit

The first visit, minute by minute

History, exam, findings, written plan. What actually happens at Missouri Injury Clinic and what to bring.

Read the page05The record

The dated record

What a documented injury exam is, what it is not, and why the date on the first one matters to every clinician who comes after.

Read the page06The bright line

Emergency room or injury clinic

The symptoms that send you to an ER tonight, and the ones that belong in a planned exam this week.

Read the page07The corridors

I-44, I-55, I-64, I-70 and the Poplar Street squeeze

The river city's crash geography, read from the roads this desk hears about most.

Read the page08The south side

The south side and the Tesson Ferry office

South city, south county, and the office at 11144 Tesson Ferry that is the shortest drive for most of it.

Read the page09The offices

Three offices across the metro

Hazelwood, Tesson Ferry, O'Fallon. Addresses, phones, hours, the midday close, and which one you can reach this week.

Read the page10Questions

Questions St. Louis drivers ask after a crash

Twelve straight answers, from whether you need an exam if you feel fine to what to say on the phone.

Read the page11The desk

About the report

Who writes this, who pays for it, how facts are sourced, and how to send a correction.

Read the page12The numbers

St. Louis crash numbers, 2023

What the Missouri State Highway Patrol counted in St. Louis County and the city, what the counts are, and what they are not.

Read the page13The trend

Five years of county and city crashes

Fewer crashes since 2019, a larger injury share, and the fatal counts read with caution.

Read the page14The clock

When crashes happen: hour and day

The 3 to 6 p.m. peak, the later clock of fatal crashes, and what that means for the offices' hours. Statewide.

Read the page15The cities

Crashes by municipality in St. Louis County

Injury crashes inside the city limits of the county's municipalities, including Hazelwood.

Read the page
The Eads Bridge spanning the Mississippi River at St. Louis under a clear winter sky, with a MetroLink train crossing and snow on the levee
The Eads Bridge from the Missouri levee, a MetroLink train crossing on the lower deck. The river city's oldest crossing still carries its commute. Photo: Antony-22, via Wikimedia Commons, CC BY-SA 4.0.

The clinic behind the report

Missouri Injury Clinic

Joseph L. Hollingsworth, DC · Putting the CARE back in Healthcare

Missouri Injury Clinic is run by Joe Hollingsworth, DC, a chiropractor whose stated mission is putting the CARE back in Healthcare. The clinic publishes three lanes: auto injuries, meaning diagnosis and a written treatment plan after a crash; TBI and concussion rehabilitative therapy; and sports injuries, getting athletes back to training. It is a chiropractic injury clinic, not a law office, and this desk will say that as often as it needs to.

For concussion work the clinic names its tools plainly on its own site: vagus nerve stimulation with gentle microcurrent at the tragus, neurofeedback, Alpha Stim, sensory motor integration, exercise with oxygen, oculomotor rehabilitation, and computerized cognitive rehabilitation. That specificity is why this paper is comfortable putting its masthead over the clinic's name. Pick the office you can drive to this week.

  • Auto injuries: diagnosis and plan
  • TBI and concussion rehab
  • Sports injuries

south metro

South County

11144 Tesson Ferry Road, Suite 200
Saint Louis, MO 63123

Mon to Thu 9am to 6pm
Fri 9am to 12pm
Closed daily 12 to 2

(314) 530-5480See Tesson Ferry →

north metro

North County

14 Village Square Shop Ctr
Hazelwood, MO 63042

Mon to Thu 9am to 6pm
Fri 9am to 12pm
Closed daily 12 to 2

(314) 627-1411See Hazelwood →

west metro

Lake St. Louis (O'Fallon)

2163 West Terra Lane
O'Fallon, MO 63366

Mon, Tue, Thu 9am to 6pm
Wed and Fri by appointment
Closed daily 12 to 2

(636) 280-0990See O'Fallon →

As published on moinjuryclinic.com

“Great service and wonderful people”Byron Coffee, as published on moinjuryclinic.com
“Great service lovely staff!”Jaymee Golley, as published on moinjuryclinic.com
“Missouri Injury Clinics is the best place for treatment.”Stephanie Griffin, as published on moinjuryclinic.com

These three are the reviews the clinic publishes on its own homepage. This desk does not collect, solicit, or write reviews.

Advertising disclosure. This page is advertising. This desk is compensated for featuring Missouri Injury Clinic, and it is not the clinic, not a law office, and not a party to anyone's insurance claim. We publish only the lanes, offices, and hours the clinic publishes on moinjuryclinic.com. We do not write reviews, rank providers, or give medical or legal advice.

Educational only. Nothing on this page is medical advice or a diagnosis; a licensed clinician who has examined you is the person to ask. Facts about the clinic come from moinjuryclinic.com. Emergency symptoms go to the emergency room, not to a clinic or a website.