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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. Addina says

    January 26, 2023 at 9:00 pm

    I am currently on workers comp for a work related injury. My left leg was shattered at the knee last June. I am receiving PT 3X a week and have been put out of work until the end of March, but it will be at least the end of summer before I can go back. My DOT medical card expires February 6th. I won’t pass right now because of my leg. Is there an exemption/waiver/hold I can get for my DOT because I have a work related injury and am not driving?
    Thank you!

    Reply
    • Trucker Docs™ says

      January 27, 2023 at 8:19 am

      @ Addina
      Just notify your states drivers license department of your situation. They should have a process in place for someone in your position.

      Reply
  2. chris a r says

    January 26, 2023 at 6:33 pm

    what is physicaly checked during the extremidies and limbs physical? is this a regular physical that i have to be naked?

    Reply
    • Trucker Docs™ says

      January 27, 2023 at 8:21 am

      @ chris a r
      No nakedness.

      Reply
  3. Dave says

    January 16, 2023 at 12:13 pm

    I have had two shoulder surgeries, and 4 hand surgeries to release trigger finger on six fingers, as well as repairing Dupuytren’s contracture. I have had all of the necessary rehab done, and have been released completely by my dr. Will this disqualify me from getting a cdl? Thanks.

    Reply
    • Trucker Docs™ says

      January 17, 2023 at 8:21 am

      @ Dave
      If there are no restrictions or limitations which hinder your abilities to operate a cmv, you should be fine.

      Reply
  4. David says

    January 10, 2023 at 12:40 pm

    Can I get an extension on my DOT physical due to delays in doctor appointments?

    Reply
    • Trucker Docs™ says

      January 10, 2023 at 1:25 pm

      @ David
      There is no such thing.

      Reply
  5. William A M JR says

    December 27, 2022 at 8:52 pm

    I have had both shoulders arthroscopic surgery a lower lumbar fusion on the spine with plates and screws I’ve had a fusion of my neck with plate and screws. I’ve had two hernias at the waistline one recent repaired does this disqualify me from driving tractor trailer

    Reply
    • Trucker Docs™ says

      December 28, 2022 at 9:57 am

      @ William A M Jr
      None of these by themselves or combined are a disqualifying factor. If any of these create limitations in your abilities to operate a commercial motor vehicle, then there may be restrictions.

      Reply
  6. Robert B says

    December 19, 2022 at 12:26 pm

    I have a CDL B license in the state of Michigan with a current DOT card that expires in 5 months. I had total knee replacement surgery 9 weeks ago and my doctor has given released me from his care and provided a back to work slip. Can I continue under my current CDL card or do I need to re-certify my medical card before I return to work? And if I do need a new card do I need to wait a specified amount of time?

    Reply
    • Trucker Docs™ says

      December 20, 2022 at 3:12 pm

      @ Robert B
      Your cdl falls under your states guidelines and regulations, not federal DOT/FMCSA. Check with your local DLD. For class A cdl holders, once fully released, you would need a new medical card. Not sure at the state level. Once fully released, no waiting period.

      Reply
  7. Jeffery says

    December 12, 2022 at 4:03 pm

    I had a total left hip replaced. I passed my DOT physical. I had a Full release from my Doctor to return to work. The MRO said that he would not give me my medical card until I was post-surgery 90 days. I told the MRO I never drive I have a class A because of the safety sensitive part of my job. I am an Operations Manager. Can this MRO contradict my Doctors complete medical release.

    Reply
    • Trucker Docs™ says

      December 13, 2022 at 6:43 pm

      @ Jeffery
      I will assume that MRO (medical review officer) is being used to mean the CME (certified medical examiner) who performs DOT/FMCSA medical certification examinations.
      The CME has to abide by DOT/FMCSA guidelines and regulations, which your medical doctor does not. There is only a guideline here to wait for 90 days, if the CME feels that there may be some level of risk to you and the public at large. Seems that your CME is being overly cautious and is not hearing what you are saying as a non-driver. But DOT/FMCSA is more strict on class A drivers than any other class cdl.

      Reply
  8. Calvin says

    December 2, 2022 at 8:33 am

    I had shoulder implant surgery and my arm does not go all the way up will that effect my dot medical card for a class A CDL or how far does the arm have to reach up?

    Reply
    • Trucker Docs™ says

      December 2, 2022 at 2:23 pm

      @ Calvin
      If the limitation does not interfere with your ability to perform the duties of a class A cmv operator, you should be fine.

      Reply
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