Emergency? Chest pain, a severe sudden headache, one-sided weakness, or confusion after a head hit is an emergency room trip, not a clinic call.Chest pain, severe headache, one-sided weakness, or confusion after a head hit: emergency room, not a clinic.
Emergency? 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.

Wire // West County // 2026
West County Wellness WireOn the wire for Manchester Road

Bulletin desk
Ballwin, Ellisville, Manchester, Des Peres,
Wildwood, Town and Country, Chesterfield

This wire carries one bulletin: crashed in West County, get examined this week.

Manchester Road, Highway 141, Clayton Road, Route 100, and the 270 ramps produce a steady feed of collisions. The Wire skips the filler and transmits the useful part: what a crash does to a body, and where the near exam room is. For most of West County that is Missouri Injury Clinic's Tesson Ferry office.

A tree-lined two-lane road in West County, Missouri, under tall pines on a clear afternoon, the kind of street this wire reports on.
Wire photo Pines over a quiet West County street. The crashes this corridor produces happen a few blocks from scenes like this, where the side street meets the arterial.

Everything the Wire has to say fits in three transmissions. The rest is detail on demand.

Bulletin 01 // The delay is standard

Crash injuries report late

The neck and low back typically report one to three days after impact, once the adrenaline clears and the sleep is bad. Concussion symptoms can be quieter still: fog, a short fuse, a screen that suddenly hurts to look at.

Booking the exam early means the findings meet the symptoms on arrival instead of chasing them from behind. That is the whole argument for calling on day one.

The lag, explained →
Bulletin 02 // The clinic

One chiropractor, three offices

Missouri Injury Clinic, Joseph L. Hollingsworth, DC. Three lanes as published: auto injuries with diagnosis and a written treatment plan, TBI and concussion rehab, sports injuries. The tagline on the wall is putting the CARE back in Healthcare.

From Ballwin, Manchester, Des Peres, or Ellisville, the Tesson Ferry office off 270 is the short route. O'Fallon and Hazelwood back it up across the metro.

Offices and hours →
Bulletin 03 // Paper is treatment

Every visit gets dated

An exam produces a record because that is how treatment works: what happened, what the exam found, what the plan is, and the date it was written down. The record is a care document first.

If a claim is ever part of your story, the dated record from that first exam is what everyone will ask for. You do not need to have decided anything about a claim before you get examined.

What the record is →

1,808 injury crashes inside 13 West County city limits in one year. The count, sourced.

From the Missouri State Highway Patrol's Traffic Safety Compendium, 2023, the latest year the Patrol has published. Counts, not rates. No clinic is rated or ranked.

13 West County cities8,151crashes inside their city limits, 2023
Chesterfield1,054crashes, the most of the thirteen, with 390 people injured
Following too close3,933Missouri injury crashes where it was listed, statewide
Injury crashes inside city limits, 2023Table 17.01. Seven of the thirteen West County cities, most to fewest; all thirteen are on the numbers file.
Chesterfield278
Creve Coeur255
Maryland Heights218
Town and Country210
Sunset Hills167
Des Peres100
Kirkwood99

Sources: Missouri State Highway Patrol, Missouri Traffic Safety Compendium 2023, tables 17.01, 1.27, and 1.14. Shares are the Wire's arithmetic on the published counts.

Canada geese on the pond at Vlasis Park in Ballwin, Missouri, with a snow-covered gazebo and fountain behind them during a snowfall.
Vlasis Park, Ballwin, in a snowfall. Snow makes the signals slick, though Missouri's 2023 count put its busiest crash month in October, not winter. Photo: Dave Herholz from St. Louis, USA, via Wikimedia Commons, CC BY-SA 2.0

West County is a place where people drive to everything, and the roads keep score.

Ballwin, Ellisville, Manchester, Des Peres, Wildwood, Town and Country, and the Chesterfield end of the county share one spine, Manchester Road, and one fast crossing, Highway 141. Add Clayton, Clarkson, Big Bend, Olive, and the 270 and 64 interchanges and you have a corridor that is almost entirely signals, merges, and left turns across traffic.

That geometry produces a specific kind of crash, the low-to-moderate speed rear-end and intersection hit, and a specific kind of injury: soft tissue in the neck and back, and the occasional concussion nobody noticed at the scene. None of it is exotic. All of it is worth examining promptly, and the Wire exists to say that plainly and point at the near office.

Fifteen files on the wire, each one written to be the last thing you need to read.

Start here // The week after

Crash on Manchester or 141. Here is the wire copy.

The injury pattern of a West County collision, hour by hour and day by day, from the scene to the end of the first week.

Read →
The corridor

Manchester, 141, and the 270 ramps

Where the corridor produces its crashes, what each road tends to do to a body, and why the rear-end hit is the local signature.

Read →
The lag

Day two and day three

Why a neck that felt fine at the scene will not turn on Tuesday, and why the exam should be booked before the symptoms arrive.

Read →
The quiet one

Concussion without a knockout

No windshield, no blackout, still a concussion. The signs, the screens, and the rehab lane the clinic publishes.

Read →
Dispatch

Phone to exam table inside a week

What the first visit at Missouri Injury Clinic actually is, what to bring, what to say on the call, and the bright line for the ER.

Read →
The log

Every injury worth treating gets logged

What a dated injury exam is and is not, why the timestamp matters, and how to hand off someone who is still hurting.

Read →
Triage

Emergency room or clinic?

The symptoms that are an ER trip right now, the ones that are a clinic call this week, and what to do when it is both.

Read →
For senders

Sending someone in

For the parent, coach, office manager, or friend who is making the call on someone else's behalf.

Read →
The offices

Tesson Ferry, O'Fallon, Hazelwood

Addresses, hours, the 12 to 2 closure, and which office is the drive you can actually make this week.

Read →
Quick answers

Questions on the wire

Which office is nearest Ballwin, whether a minor crash is worth an exam, what to do if a week has passed, and more.

Read →
Standards

About this desk

Who runs the Wire, who pays for it, how facts are sourced, and how to send a correction.

Read →
The numbers

West County crash numbers, 2023

What the Patrol counted inside thirteen West County cities, and what those counts are not.

Read →
The cities

Crashes by West County city

Chesterfield to Ellisville by severity, by people injured, and by injury share.

Read →
The causes

Following too close and failing to yield

Two lines on thousands of Missouri injury crash reports, read with the counted-more-than-once rule.

Read →
The calendar

Missouri crashes by month

October, not January, and why February's low count is partly the calendar.

Read →

Missouri Injury Clinic, Joseph L. Hollingsworth, DC

Three lanes as the clinic publishes them: auto injuries (diagnosis and a treatment plan after a crash), TBI and concussion rehab, and sports injuries. Tagline on the door: putting the CARE back in Healthcare.

Three offices
One chiropractor
Pick the drive you can make this week

Near office for West County

South County, Tesson Ferry

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) 530-5480 This office on moinjuryclinic.com →
Over the Boone Bridge

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) 280-0990 This office on moinjuryclinic.com →
North County backup

North County, Hazelwood

14 Village Square Shop Ctr
Hazelwood, MO 63042

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

(314) 627-1411 This office on moinjuryclinic.com →

Hours and addresses are copied from moinjuryclinic.com. Confirm them on the call. Dr. Hollingsworth is a chiropractor; this is a chiropractic injury clinic, not a law office.

Three reviews the clinic publishes on its own site. We do not add to them.

"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

Crashed in West County this week? The exam is the bulletin.

A documented exam this week protects your health and your options. Call the Tesson Ferry office, say it is a crash exam, and take the first slot you can drive to. If you already have an attorney, bring their contact so records can be sent where they need to go.

Get an exam this week → Call Tesson Ferry (314) 530-5480 Offices close 12 to 2 every day. Call in the morning or after two.

The bright line. 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.

Advertising disclosureThis 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. Everything on this desk is educational. It is not medical advice, not a diagnosis, and not a substitute for an exam by a licensed clinician.