Car Crash Lawyer in San Antonio: Bexar County Roads, Crash Injuries and Treatment

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San Antonio is a city built around freeways. I-35, I-10 and I-37 meet near downtown, Loop 410 and Loop 1604 ring the city, and US 281 and US 90 cut across it. That network carries a lot of traffic and produces a lot of crashes. This page is LAWBOSS’s look at car crashes in San Antonio and Bexar County: what TxDOT’s latest figures show, where and why crashes happen, the injuries they cause, and how treatment for those injuries shapes a claim.

Bexar County crashes in 2025, by the numbers

TxDOT publishes annual crash tables built from the CR-3 reports that officers file. The 2025 tables, with reports processed as of April 7, 2026, give these figures for Bexar County.

Bexar County, 2025	Figure
Reportable crashes	46,744
Fatal crashes	182
People killed	190
People with suspected serious injuries	759, in 644 crashes
People with suspected minor injuries	9,470, in 6,904 crashes
People with possible injuries	9,534, in 5,782 crashes
Crashes with no injury	30,872
Crashes involving a distracted driver	17,023, with 31 people killed
Crashes in work zones	3,847, with 9 people killed

Inside the City of San Antonio alone, TxDOT counts 37,299 crashes and 167 deaths in 2025. Across Texas, the same report says one person was killed every 2 hours 19 minutes and one person injured every 2 minutes 9 seconds. Most of the injured in Bexar County fall into the minor and possible injury categories. Those labels come from the officer at the scene, not a doctor, and many injuries first labelled possible turn out to need months of treatment.

Where San Antonio crashes happen

We do not rank roads, because the figures that would support a ranking are not published road by road in TxDOT’s county tables. What we can say is where the volume and the conditions that cause crashes come together.

I-35 north and northeast

I-35 carries traffic between San Antonio, New Braunfels and Austin. TxDOT’s I-35 Northeast Expansion project covers about 19.5 miles of I-35 from I-410 South to FM 1103 in Bexar, Comal and Guadalupe counties, with two 15-mile elevated lanes between the main lanes and the frontage roads from I-410 South to FM 3009, and direct connections to I-410 and Loop 1604. Work zones mean shifted lanes, narrow shoulders and sudden slowdowns. Texas’s Move Over or Slow Down law requires drivers to vacate the lane next to stopped emergency vehicles, tow trucks and TxDOT or highway construction vehicles using their lights, or to slow to 20 miles per hour below the limit (Transportation Code 545.157).

I-10 and the Medical Center

I-10 runs northwest from downtown, past our office at Fountainhead Tower, toward Leon Springs and Boerne. Heavy commuter traffic, frequent exits and merges onto the frontage roads make rear-end and lane-change crashes common.

Loop 410 and Loop 1604

The two loops connect every part of the city. Their interchanges with I-10, I-35, US 281 and Bandera Road take large volumes of merging traffic, and Loop 1604 serves growing areas on the north and west sides where frontage roads carry heavy local traffic.

US 281 and the arterial roads

US 281 runs north through Stone Oak and the airport area. Off the freeways, arterial roads such as Bandera Road, Culebra Road, Fredericksburg Road, Military Drive and Wurzbach Road have many driveways and left-turn lanes, which is where intersection and left-turn crashes cluster.

Why crashes happen

• Distraction. Reading or sending a message on a hand-held phone while driving is an offense under Transportation Code 545.4251, and TxDOT linked 17,023 Bexar County crashes in 2025 to a distracted driver.
• Following too closely. The assured clear distance rule in Transportation Code 545.062 is the rule broken in most rear-end crashes.
• Failing to yield on a left turn. Transportation Code 545.152 requires the turning driver to yield to oncoming traffic close enough to be a hazard.
• Alcohol. Across Texas, 906 people died in 2025 in crashes where a driver was under the influence of alcohol, and TxDOT reports that more of those crashes happened between 2:00 and 2:59 in the morning than in any other hour.
• Speed and work zones. Shifted lanes and sudden queues on construction routes catch drivers who do not slow down.

Common car crash injuries

The forces in a crash act on the body in predictable ways, and some injuries are routinely missed on the day.

Injury	How it often shows	Why it matters to the claim
Neck and back strain, disc injuries	Stiffness and pain that build over a day or two; numbness or pain down an arm or leg	Imaging may be needed to show a disc injury, and insurers dispute soft tissue claims
Concussion and brain injury	Headache, confusion, memory or sleep problems, sometimes without a blow to the head	Symptoms can be subtle; family members’ notes of changes help
Fractures	Usually found at the hospital	Surgery, hardware and long recovery raise future medical needs
Seatbelt and airbag injuries	Bruising across the chest and abdomen, burns to the arms and face	Can hide internal injuries that need scans
Knee and shoulder injuries	Pain when walking or lifting that grows after the first days	Often blamed on age or old injuries by insurers

Trauma care in San Antonio

Ambulances in the region take the most seriously injured to Level I trauma centers. University Hospital, at 4502 Medical Drive, is verified by the American College of Surgeons as a Level I trauma center and a Level I pediatric trauma center, and University Health describes it as serving a 22-county region. Brooke Army Medical Center at Joint Base San Antonio-Fort Sam Houston was re-verified as a Level I trauma center by the American College of Surgeons in 2022 and is the only Level I trauma center in the Department of Defense. It receives civilian trauma patients through a written agreement with the Bexar County Hospital District, and in 2019 about 85 percent of its trauma patients were civilians. The Southwest Texas Regional Advisory Council coordinates where trauma patients in the region are taken.

A hospital that admits you within 72 hours of a crash caused by someone else’s negligence has a lien on your claim once it files notice with the county clerk (Property Code 55.002 and 55.005). That does not mean you owe the hospital twice; it means the hospital is paid from a recovery before the rest reaches you. We deal with those liens as part of every case.

Treatment and the claim

The medical record is the main evidence of an injury. A few habits protect both your health and your claim.

• Get seen within a day, and tell the doctor you were in a crash.
• Describe every symptom, not only the worst one. A complaint that first appears weeks later is easy to dispute.
• Follow the plan. Go to therapy, take the tests, see the doctors you are referred to.
• Avoid long gaps. Insurers read a month without treatment as a sign that you had recovered.
• Keep a record of pain, sleep, missed work and the things you could not do.

Texas limits recovery of medical expenses to the amount actually paid or incurred by you or on your behalf (Civil Practice and Remedies Code 41.0105), so the figure that counts is often lower than the first bill. Noneconomic damages, such as physical pain, mental anguish, physical impairment and disfigurement, are separate and are proved by the records, by you and by the people who see you every day.

A car crash lawyer based on I-10

Our San Antonio office is in Fountainhead Tower on I-10 in northwest San Antonio. We take car crash cases from across Bexar County and from New Braunfels, Schertz, Converse, Universal City, Live Oak, Leon Valley, Helotes, Boerne and Seguin; our areas served page covers each of those cities. For what to do in the first days after a crash, see our car wreck lawyer San Antonio guide. The firm’s main website is lawboss.com.

We work on a contingency fee: you pay no attorney’s fee unless we recover money for you. We advance the case expenses, and if there is no recovery you owe no fee and no case expenses. If there is a recovery, the fee and the expenses are paid from it as your written fee agreement sets out before we start.

Questions people ask