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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. Loren says

    February 1, 2022 at 11:05 am

    What is the requirement for the grip test? How many lbs to pass?

    Reply
    • Trucker Docs™ says

      February 2, 2022 at 6:37 am

      @ Loren
      Good strength to hold a steering wheel and able to grip/hold tools if needed. Most CME’s do not go by measured grip strength and neither does DOT/FMCSA.

      Reply
  2. mike c says

    January 29, 2022 at 4:05 pm

    does the doc need to touch your testicles for the physical? very uncomfortable. i have a personal doctor that gives me yearly physicals.

    Reply
    • Trucker Docs™ says

      February 1, 2022 at 6:51 am

      @ mike c
      The only way to confirm or rule out a possible inguinal hernia is through the inguinal canal. He/she does not need to touch your testicles, but must go past them to get to the canal.

      Reply
  3. Franklyn M. says

    January 25, 2022 at 11:59 am

    C6-C7: Right paracentral disc extrusion which contacts the right descending C8 nerve root at the right lateral recess. Mild central canal stenosis. There is indentation of the right ventral cord surface. Minimal right foraminal stenosis.

    Symptoms: present in right arm, elbow, shoulder, numbness in thumb and pointer finger. Otherwise no loss of mobility.

    Do these MRI results automatically and symptoms disqualify from holding a commercial license?

    Reply
    • Trucker Docs™ says

      January 26, 2022 at 7:00 am

      @ Franklyn M
      For a class A cdl, running interstate, will be very difficult to pass the federal medical certification examination. Intra-state only and/or a lesser class cdl, will fall under the states guidelines and variances.

      Reply
      • Franklyn M. says

        January 26, 2022 at 11:50 am

        I drive within California only, with a class b license. Hopefully I get to keep my job. Thank you for your response.

        Reply
  4. Leif n says

    January 21, 2022 at 4:30 pm

    Can Dupuytren’s Disqualify you for a dot physical. I can make a fist and it does not effect my daily life except I can’t throw a basketball because my hand doesn’t go flat.

    Reply
    • Trucker Docs™ says

      January 21, 2022 at 7:18 pm

      @ Leif n
      This condition should not be an issue with the CME.

      Reply
  5. Kevin says

    January 17, 2022 at 9:48 am

    I have neuropathy in my feet and lower legs. Decreased sensation and slow responses. And being able to get a DOT card

    Reply
    • Trucker Docs™ says

      January 18, 2022 at 7:19 pm

      @ Kevin
      For a class A cdl medical card, no you will not pass the examination. For a lesser class cdl, you will be under the states rules and not federal DOT/FMCSA.

      Reply
  6. Kevin L says

    January 12, 2022 at 4:37 pm

    I broke my foot and am out of work until March 18, 2022. My DOT physical is due before February 28, 2022. Is it possible to get an extension or exemption as it is a temporary issue?

    Reply
    • Trucker Docs™ says

      January 13, 2022 at 7:22 am

      @ Kevin L
      Your condition does not require an extension. Check with your state DLD and explain your situation. They should have policy in place for this.

      Reply
    • Jake says

      January 14, 2022 at 2:52 pm

      I’ve always wondered this? What if you broke a leg or something to that extent that requires a long recovery, but your med card is due at that time. Here in Mass you need to recertification your med card with the registry every time you get one or they will downgrade your license and after a year you’ll have to do the written and road test again! Do they make an exception if your hurt at the time you need to renew it?

      Reply
      • Trucker Docs™ says

        January 15, 2022 at 12:58 pm

        @ Jake
        If you are a class A driver, you would not pass the DOT/FMCSA medical certification examination. You would need to contact your local drivers license department and ask for guidance through their process for situations like this. Each state should have a procedure which will work with the driver with injuries. Lesser class license fall under the states guidelines and not DOT/FMCSA. So you would check with your states DLD.

        Reply
  7. Sandy says

    January 11, 2022 at 4:29 pm

    How far back to have to put surgery on a Dot physical?

    Reply
    • Trucker Docs™ says

      January 11, 2022 at 6:33 pm

      @ Sandy
      If it ask, Have you ever, then tell them when.

      Reply
  8. Chris says

    January 10, 2022 at 10:39 pm

    I had spinal fusion at l5/S1 about 7 years ago. Does this disqualify me from driving or getting a CDL?

    Reply
    • Trucker Docs™ says

      January 11, 2022 at 7:25 am

      @ Chris
      Not in and of itself, no. If the fusion causes restriction or the inability to perform the duties of a cmv operator, then there may be questions.

      Reply
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