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Home » Q & A about DOT Physical Requirements » Extremities and Trunk

Extremities and Trunk

musculo-skeletal med

 

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Q&A

I have a hernia. Will this disqualify me from passing a DOT physical?

I had hernia surgery three years ago. There is some scar tissue which causes a little discomfort from time to time but in no way renders me unable to perform any tasks. Will this cause me to fail a DOT physical?

I have a hernia that does not give me any trouble. The doctor I saw for my DOT exam says I have to get it repaired before my next exam. What if my regular doctor says that we can do watchful waiting instead of surgery? What are my rights under the law about this?

What if I have a limb impairment? Am I disqualified?

I have a hernia. Will this disqualify me from passing a DOT physical?

If the hernia does not interfere with your operation of a commercial motor vehicle, then there is no problem.
If you have pain and are limited in some way, then you should take care of the problem before it does become a serious problem.

I had hernia surgery three years ago. There is some scar tissue which causes a little discomfort from time to time but in no way renders me unable to perform any tasks. Will this cause me to fail a DOT physical?

During the examination you will be questioned regarding the hernia surgery. Just let the medical examiner know how this effects you and whether it interferes with your daily activities. Some companies have restrictions, but this is a company policy not a DOT regulation.

I have a hernia that does not give me any trouble. The doctor I saw for my DOT exam says I have to get it repaired before my next exam. What if my regular doctor says that we can do watchful waiting instead of surgery? What are my rights under the law about this?

The DOT examiner is looking at a progressive condition, but if you will take a note from your primary doctor who has evaluated your condition and understands what you really do for a living, then the DOT examiner should consider your primary doctor’s opinion. However, the final decision to certify you, or not, remains with the medical examiner.

What if I have a limb impairment? Am I disqualified?

It is possible to apply for an exemption. FMCSA has a certificate program for drivers with limb impairments. FMCSA also has a special certification program for drivers with missing limbs. (see FMCSA Skill Performance Evaluation)

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Comments

  1. Bo says

    January 4, 2022 at 3:58 pm

    I have had four surgeries on my rotator cuff I now have a restriction of no use of my right arm am I still eligible to operate a commercial vehicle in the state of Michigan

    Reply
    • Trucker Docs™ says

      January 5, 2022 at 3:45 pm

      @ Bo
      If you drive intra-state only, then you fall under the states guidelines and variances. Your best answer is going to come from your local drivers license department, not from DOT/FMCSA.

      Reply
  2. Peter says

    January 3, 2022 at 12:18 pm

    An employee of mine had his left leg amputated from the knee down and now has a prosthetic leg. He drives a company truck and needs a DOT physical and has never had issues getting one in the past.

    Is a prosthetic left leg a valid reason to be denied a DOT medical card?

    Reply
    • Trucker Docs™ says

      January 3, 2022 at 2:43 pm

      @ Peter
      If the driver is a class A license holder, then there will be questions and he will probably need an exemption form from DOT/FMCSA. That may require a specialist to ride with your driver to determine his physical capabilities.

      Reply
  3. Larry P says

    December 23, 2021 at 1:52 pm

    After being struck in the face & shoulder by a trailer door (split lower lip open and bruised my jaw, tore out my bicep tendon (unrepairable), tore my bicep muscle, tore my rotator cuff. After treatment they found that I have 3-4 discs in my neck shifted & bulging- herniated – causing pain but say it isn’t a result of getting hit by the trailer door.

    My question is “would I pass a DOT physical and be able to get my Medical Certification (card) with the herniated discs in my neck or would I be High Risk and not certifiable ?

    Reply
    • Trucker Docs™ says

      December 26, 2021 at 1:25 pm

      @ Larry P
      If you can perform the duties of a CMV operator, without restrictions or limitations, then you may pass the DOT/FMCSA examination. The CME is going to be looking at all of your symptoms and abilities to make his/her final decision. Based on what your situation is right now, you will be considered high risk and may need to provide additional documentation from your treating physicians. Also, lots depends on which class CDL you hold.

      Reply
  4. John G says

    December 2, 2021 at 1:49 am

    I had my right hip replacement surgery 1 month ago,my medical expired in Jan of 2022 can I still renew my medical card

    Reply
    • Trucker Docs™ says

      December 2, 2021 at 11:14 am

      @ John G
      If your doctors have released you to return to work, without limitations or restrictions, then yes.

      Reply
  5. Chris says

    October 29, 2021 at 6:08 am

    Hi, my name is Chris and I have a question about medical card exempt. I fell out of a truck and broke my back and am now an incomplete paraplegic. I’ve gotten much gains back, but I use Afo’s because I have little movement below my knees. I still have a class A CDL. I contacted the DMV and that’s when they mentioned the medical card exempt with a skills test. What does that mean?

    Reply
    • Trucker Docs™ says

      October 30, 2021 at 11:26 am

      @ Chris
      Not sure about your states requirements, so check with them if you are going to be limited to intra-state only. For Federal DOT/FMCSA your limitations would require an extremities exemption which must be supported by a Skills Performance Evaluation. You will need to find a certified SPE examiner in your state and demonstrate your driving skills with your limitations. The examiner can then determine what your actual capabilities are and make recommendations from there.

      Reply
      • Chris L says

        November 4, 2021 at 11:04 am

        Ok thanks! I contacted FMCSA in Illinois and recieved Skill Performance Evaluation packet. This stuff is complicated! It’s nice to know there is a path back to the driver’s seat, even if it does appear to be difficult. I need the job first, then the SPE. I was hoping I could do this myself then present it to my prospect employer. I’m doubtful anyone will hire me just to go through all this especially with no guarantee of completing. So discouraged.
        Thank you for responding, I appreciate ya!

        Reply
        • Trucker Docs™ says

          November 4, 2021 at 6:33 pm

          @ Chris L
          Anything is possible, so keep the faith. Good Luck

      • Frank T says

        November 5, 2021 at 2:21 am

        I have an above the knee amputation of my right leg. I recently filed for my business license and my motor carrier authority for a NON CDL hot shot trucking business which requires me to get a Dot medical certificate because I’ll be doing interstate commerce. my primary doctor filled out the medical waiver form to let the Dot doctor know that he thinks I am totally fit and strong enough with the microprocessor I’ve had and been walking with for almost 5 years already and I can do everything without mods I never Thad to get any kind of special drivers license and ride motorcycles without any mods I don’t let this disability stop me from doing anything. So I am qualified as a non CDL hot shot to only haul 26k pounds or less. and that’s combined truck trailer and load. I have everything done I just need to go get my physical done and get my liability and cargo insurance and I will be ready to work . Will this be an issue for me when I go for my physical even though I am doing non CDL hot shot trucking with my own 3/4 ton pick up truck and trailer ? I was told I wouldn’t have any problem because I am doing NON CDL trucking but I just wanted to get an opinion from u guys is all

        Reply
        • Trucker Docs™ says

          November 6, 2021 at 10:04 am

          @ Frank T
          Make sure the medical examiner is aware that you are a non-cdl holder and you fall under the states guidelines and variances, not DOT/FMCSA. Class A drivers exams are more strict, and would require a SPE, not so in your case.

  6. AAE says

    October 27, 2021 at 12:19 am

    If you get a drop foot as a result of a herniated disc, can that disqualify you from renewing your class b license? Have had hernia surgery and everything went well but drop foot has not recovered

    Reply
    • Trucker Docs™ says

      October 27, 2021 at 7:27 pm

      @ AAE
      As a class B driver you fall under the state regulations and variances. If the condition does not interfere with your driving abilities, you should be OK. But confirm this with your states drivers license department.

      Reply
  7. radoine e says

    October 26, 2021 at 2:35 am

    I have had brachial plexus in my right arm since my birth, I use it but can’t extend it, I have a licence drive and I can shift manual gear.
    Is this can be an obstacle to having my CDL A ? thank you

    Reply
    • Trucker Docs™ says

      October 26, 2021 at 8:42 am

      @ radoine e
      Your ability to perform the duties of a commercial motor vehicle driver are going to be questioned, but not completely ruled out. The examiner will have questions and may request additional documentation to help him/her in the decision making process. If the limitations are extensive enough, they may request a waiver from the DOT/FMCSA. That decision will be based on the CME’s findings from your medical certification examination.

      Reply
  8. Brett H says

    September 15, 2021 at 5:40 pm

    Is it possible to get a CDL-A renewed if f you have a limitation of lifting up to 20 pounds below shouter level?

    Can you get a semi-truck driving job (even “no touch”) with such a restriction? Would the physical requirements of the pre-and post trip inspections exceed this limitation?

    Thank you.

    Reply
    • Trucker Docs™ says

      September 20, 2021 at 7:04 pm

      @ Brett H
      Class A, FMCSA must have no restrictions or limitations. You might look into intra-state only, which changes from DOT/FMCSA to the states guidelines and variances.

      Reply
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