The Titans moved the ball well on offense to start the game on the ground as Chris Johnson found plenty of holes to hit and was aided with a big penalty on a horse-collar tackle to move his side into the red zone. Shonn Greene took advantage of this to power in for the score from five yards.
St Louis tried to respond and were driving down the field using the arm of Kellen Clemens to move the chains.
However, following a punt by the hosts the Rams got themselves back in the game as Clemons engineered another impressive drive.
This time, though, they did not turn the ball over as running back Zac Stacy jinked his way into the end zone for the three-yard touchdown.