Gateway Midwest Healthcare treats Weldon Spring patients for concussion, herniated disc, shoulder injury and coccydynia after highway crashes and cycling falls on the Katy Trail. The office is about thirty minutes away, and procedures are scheduled separately from assessment so the effect of each is clear.
Weldon Spring sits on the I-64 corridor near the river crossings, and highway collisions there arrive with the injury pattern to match.
Why patients come to us from Weldon Spring
I-64 across the Missouri River carries fast, dense traffic with limited escape room, and the crashes are correspondingly high-energy. What that means clinically is more disc involvement, more concussion, and more of the delayed-onset symptoms that people mistake for recovery going wrong.
The other thing we see from Weldon Spring is cycling and trail injury. The Katy Trail runs through, and a fall from a bike at speed produces shoulder, wrist and coccyx injuries that behave quite differently from a road collision.
The roads around Weldon Spring, and what they send us
I-64 and Highway 94 carry Weldon Spring, a newer corridor with higher travel speeds.
How people get here matters clinically as well as logistically. A long seated commute is itself a loading pattern, and it frequently explains why symptoms are worse on weekday evenings than on weekends.
I-64 and Highway 94 are the two arteries. Highway crashes on the first, trail and recreational injuries from the second.
Which injuries bring Weldon Spring patients to us?
Concussion and head injury
After a highway crash or a fall from a bike, with or without a head strike.
Coccydynia
Tailbone injury from a fall onto the buttocks, common in cycling.
Shoulder injury
From an outstretched hand on landing, or a seat belt at speed.
Herniated disc
High-energy impacts load the discs hard.
Why does a tailbone still hurt months after a bike fall?
A fall from a bicycle at speed produces a different injury set from a car crash, and the tailbone is the one most often dismissed. Landing seated drives force through the coccyx and the sacroiliac joints, and both can remain painful for months after the bruising has gone.
Coccydynia is worth naming because it is so treatable and so frequently untreated. Sitting is agony, standing up from sitting is worse, and the standard advice is a cushion and patience. Where that fails, a ganglion impar block reaches the small nerve bundle in front of the coccyx and often resolves what months of cushions did not.
The other cycling injury we see is the outstretched hand: wrist, elbow and shoulder loaded in a single moment. Rotator cuff damage from a fall behaves differently from the gradual occupational kind, and it is worth assessing rather than assuming it will settle.
How do we plan visits for Weldon Spring patients?
For Weldon Spring patients the work most often centers on concussion and head injury, coccydynia, shoulder injury and herniated disc. Each of those has its own page setting out how it is diagnosed here and what treatment actually involves, and reading the relevant one before the appointment tends to make the visit more productive.
At about thirty minutes by I-64 and I-270, the journey is a real cost and we plan around it. Sequencing matters more than it would for a patient living ten minutes away, and we say plainly when a return visit is genuinely necessary.
Worth bringing: any previous scans, the complete list of what you take, and a note of which past treatments helped and for how long. Partial and temporary responses are the most useful history there is.
Thirty minutes each way is comfortable enough for a normal course of care, and we schedule procedures separately from assessment so the effect of each is legible.
We also see patients from Cottleville, St. Charles and Chesterfield. The full list is on areas we serve.
To book, call or text us. Monday to Friday, 8:00 a.m. to 4:00 p.m. We are at 12174 Natural Bridge Rd, Suite 110, St. Louis, MO 63044 — about 30 minutes from Weldon Spring, St. Charles County. No referral is needed to book and no attorney is needed to be treated after an accident.
Is it a concussion or a neck injury after a car crash?
The same impact that produces a concussion almost always loads the neck, and the two produce overlapping symptoms. Headache, dizziness, poor concentration and visual discomfort can arise from the brain injury, from the cervical spine, or from both at once.
Distinguishing them changes what helps. Headache driven by the upper cervical joints responds to treating the neck and can be confirmed with a diagnostic block. Symptoms arising from the concussion itself follow a different course and respond to a graded return to activity rather than to injections.
Assessing both rather than assuming one is why post-collision headache is worth a proper evaluation rather than a prescription.
Questions we get from Weldon Spring
I came off my bike and landed on my tailbone. Is there anything to do?
Yes. Persistent coccyx pain responds well to a targeted block, and it is one of the more under-treated injuries we see.
The detail is in Coccydynia — Tailbone Pain.
The CT after my crash was normal. Could I still have a concussion?
Yes. A CT looks for bleeding and fracture. Concussion is a functional injury and does not appear on it.
How soon should I be seen after a crash?
Within a few days if you can. The soft-tissue window is measured in weeks, not months.
Could my headaches be coming from my neck rather than my head?
Frequently, yes, particularly if neck movement provokes them. That is testable.
Should I rest completely until symptoms resolve?
Current practice favors a brief initial rest followed by graded return to activity. Extended complete rest tends to prolong recovery.
How long will my tailbone hurt after a fall?
Landing seated drives force through the coccyx and the sacroiliac joints, and both can stay painful for months after the bruising has gone. Sitting hurts, and standing up from sitting hurts more. The standard advice is a cushion and patience. When that has not worked, the pain is worth treating directly rather than waiting out.
What is a ganglion impar block?
It is an injection that reaches the small nerve bundle in front of the coccyx. For tailbone pain that has not settled with cushions and time, it often resolves what months of cushions did not. Coccydynia is one of the more under-treated injuries we see, and it responds well to this targeted block.
Why is my back pain worse on weekday evenings?
A long seated commute is itself a loading pattern for the spine. Sitting in the same position on the same commute every workday often explains why symptoms are worse on weekday evenings than on weekends. That pattern is useful information at the first visit, so tell us how long you spend in the car.
What injuries can a fall onto an outstretched hand cause?
The wrist, elbow and shoulder are all loaded in a single moment. Rotator cuff damage from a fall behaves differently from the gradual kind that builds from years of overhead work, so it is worth assessing rather than assuming it will settle on its own.
12174 Natural Bridge Rd, Suite 110
St. Louis, MO 63044
The map loads from Google, which sets its own cookies. We do not load it until you ask.
Hurt in an accident? Start here.
You do not need a lawyer, a police report or a referral to be seen. Bring your symptoms and we will work out the rest.
Monday–Friday, 8:00 a.m. – 4:00 p.m. Same-day appointments are often available for new accident and injury patients.