The collision occurred just after 1pm at Brockton near Lilleshall.
Fire appliances were mobilised from Newport, Telford Central and Wellington.
The elderly woman was treated by ambulance staff whilst the car remained suspended over the brook.
Shropshire Fire and Rescue Crews used specialist equipment to stabilise the car and rescue the woman.
Specialist rescue tender and crew from Wellington assisting Newport with a difficult rescue near #Newport pic.twitter.com/DiBimqfn5z
— Wellington Station (@SFRSWellington) December 8, 2014
Crews from Wellington and Newport have rescued a lady from an RTC near #lilleshall using specialist equipment from RT pic.twitter.com/ssQqjbPlYV
— Wellington Station (@SFRSWellington) December 8, 2014