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Q&A
I have a hernia. Will this disqualify me from passing a DOT physical?
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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Hi. I have a foot drop. Will this nerve condition fail me on the dot physical.
@ Steven
Your situation will be questioned extensively and you will need to demonstrate your abilities. The CME may request further information from your neurologist. If the condition does not interfere with your abilities to operate a CMV without risk to you or the public at large, then you may pass the DOT/FMCSA examination.
I am going to have knee surgery dec. 10 and my medical card is due. i will not be recovered in time for dec.31. what do i need to do to save my cdl until i can pass the physical?
@ John a
Let your state drivers license department know about your situation. They should be able to guide you through the process.
Thanks
I have been diagnosed with Spinal Stenosis. I may have to have surgery to repair the issue. Will I be able to pass A DOT physical once healed?
@ Mark
If the surgery is successful, then you should be able to continue driving. You will need a new DOT/FMCSA medical certificate and will need to pass all other sections of the physical examination. Good Luck, we hope it all turns out OK.
I’m unable to locate the specific ruling on Spinal cord stimulation implants. Understanding that opioid meds are an unfit for duty status but what about the implant. There’s surgeon and other doctors providing letters of return to work status with no limitations. Thanks.
@ Heice
It is not just the implant but what caused the need for any medications or implants to be needed. Your CME is going to request medical documentation to support his decision making process. Getting a letter to return to work without limitations is one step, but not a completed process. The surgeons may let you return to work, but they do not have the DOT/FMCSA guidelines and regulations to contend with. Just be prepared for a waiting period after the surgery and you may need to look into intra-state only driving for awhile.
I have a class b. I drive a city bus. Am I allowed to work while under going chemotherapy?
@ Cindy
Your class B drivers license falls under the states rules and variances, not DOT/FMCSA. Check with your states drivers license department for the best answer to your question.
I have Charcot-Marie-Tooth disorder (CMT), it effects my feet and have lost some feeling in my feet and have almost no reflexes in them, was diagnosed at a young age, I got my class A cdl at 18, I’m 22 now and considering having corrective surgery on my feet, it will only help with the pain of walking on the outside of my feet, I’m afraid if I have the surgery they will disqualify me for my medical card and revoke my cdl, any feed back will be much appreciated
@ Cordell D
It’s a tough call. If you do not have the feet corrected, then you may fail due to the inability to perform the duties of a CMV operator. Have the surgery, and you still could fail the DOT examination for the same reason. The surgery itself is not going to be an issue, it’s the ability to perform the duties of a driver.
I want to become an A class truck driver but I’m worried if I’ll fail the dot physical. In 2017 I broke and dislocated my left elbow. It has healed all the way but I can’t full straighten it out. The most I can is like a 150 degrees out of 180. I’m able to work and do everyday things of picking up, pushing, and pulling. Would I fail the dot physical just because it doesn’t extend fully, even though I can pick up weight and do everyday things we ease?
@ Marvin
You should not have any real difficulty passing the DOT/FMCSA medical certification examination with a slightly reduced range of motion in your elbow.
If carrying a class B drivers license, and transporting passengers, can a driver continue to operate legally if he or she is wearing a boot on the non-driving foot?
@ Dennis A
It would fall under your states restrictions, guidelines and variances. Check with the state DLD for your best answer.
I am a 47 year old T11 paraplegic (waist down). I have been confined to a wheelchair for 31 years. I do not suffer from pain and my upper body strength is not a problem. I have had a Class C California driver’s license since 1989 and other than the fact that I use hand controls I don’t have problems with driving. I take low dosage of gabapentin and duloxetine for neuropathy pain in my legs with no adverse side effects. Will my disability and/or medications disqualify me?
@ Anthony C
You should fall under your states variances and not DOT/FMCSA. Check with your local drivers license department for your best answer.
I have a Class A CDL and a hairline fracture on the top bone of my foot. My doctor gave me a boot to wear but it is an open toe boot. The company I work for requires steel or alloy toed shoes. My boss has told me about some form of steel toe “covering” that I could POSSIBLY put on my “boot”, but that he has to order it.So until then I will not have this “covering”. Is this going to get me into trouble for not wearing it/wearing it?
Left leg Lymphedema
I have lymphedema in my left leg. I have been to doctors who don’t see any form of blockage (blood clots) in or around my leg. I currently drive paratransit (a small school bus) in my state of Georgia. I want to get my CDL to drive a full size bus (city bus), I drive with my right leg and have no issues with either, I even wear compression socks so I don’t get looks from people. Will this affect me if I were to go through to get my CDL class C? or any CDL? When I went for my Med card to drive Paratransit they had no issue but being that it is a bigger vehicle I am a little concerned.
@ Aquilla K
Unless you try for a class A cdl, you would fall under your state guidelines and variances. Check with your local drivers license department first and then go from there.
My 2 yr DOT CDL A physical is due December 11, 2020. I may have to have surgery on my back. Can my DOT physical be extended until I am released from doctor to go back to work without loosing my CDL A? Looks like I will miss the 2 year date, maybe by a month or so. Am I penalized because of this? I work for railroad and don’t want loose my job or my CDL A worked to hard to get it.
@ William E Mc
The moment you get out of the truck for the surgery you’re DOT card become invalid. Have the surgery and once fully released, without restrictions or limitations, go get a new DOT physical. As far as your cdl A, your license is state issued and you would need to contact your state drivers license department for further instructions regarding maintaining your license while being out due to the surgery. Most states have a policy already in place for such a situation.
Will a liver transplant disqualify me for a CDL?
@ Sgt. MP
In and of itself, no. There will be questions from the CME and they will need supporting medical documentation to aid in their decision making process.
I have recently undergone L4-S1 PLIF surgery with Stryker. I have previously had c3-5 fusion and still have a herniated disc in my neck. Post PLIF surgery I still have right foot drop with numbness and leg weakness. I was wondering if I would still be able to drive. I have been driving for 25 years
@ Donald R
Once fully released, with a medical release form from your doctor, then the CME will have to make his final decision. As a class A driver, it’s going to be difficult to pass the DOT/FMCSA medical certification examination. But intra-state or a lesser drivers license and you would fall under the states variances and regulations, so all hope is not lost.
I have read the questions and comments I haven’t seen anything in regards to my question, please forgive me if I’ve overlooked! But I went to get my Dot Physical done today and the Doctor didn’t complete the physical due to the fact I’ve been having pain in my leg due to the fact that it maybe Sciatica Nerve damage, I don’t do anything for the pain I just deal with it!! Curious to know on what grounds would that disqualify me from getting a physical it doesn’t hold me back from doing my job!! Please help
@ Johnny C
The risk factors that the DOT/FMCSA placed on the CME’s causes the examiner to be leery. You have pain and you do not know what it’s coming from. The CME has unanswered questions regarding this and does not allow for good decision making. We suspect the examiner is wanting additional information before moving on. Find out whats causing the pain, get it taken care of and everybody will be in the know.
I had 7 pins and screws implanted to fix a broken right ankle, will I be able to renew my medical card if I get medically released by my doctor?
@ Joe
As long as you can perform the duties of a CMV operator and there are no restrictions or limitation placed on you by your physician, you should be fine.
I walk with a slight limp because of arthritis in my hip joint …will that cause me to fail DOT physical???
@ Matthew c
If the limp or arthritis in the hip do not hinder your ability to perform the duties of a CMV operator, you should do fine.
I went for a DOT Physical, and was not passed. The Doctor has requested an EKG, and a sleep test.
My Cardiologist performed an EKG, and says that I should be good to go. My Medical Dr has never required a Sleep Study. Is this neccessary and how should I proceed?
@ Steven B
DOT/FMCSA does not require a sleep study unless there are signs of possible obstructive sleep apnea, OSA, If you have no difficulties with day time sleepiness, then go else where for a second opinion to get your dot medical card.
Steven B. That is not true. Is your BMI is greater than 40 a sleep study is required. Or, if your BMI is >33 and you have comorbidities a sleep study is required.
@ Beth A.
Please site FMCSA regulation for mandatory sleep study based solely on BMI.
I am considering getting back into driving again. I’ve had a Cdl since 1987 and used it for 14 years prior to leaving trucking and doing something else for 18 years. I was diagnosed with cancer in 2018 and went through the usual treatments. Now in remission for over a year. The type of cancer I have is destructive to bone and a large tumor was discovered in the top of my right humerus. The bone was strengthened with a titanium plate and screws. This was done Dec ‘18, checked last Dec and no future appts are scheduled. I can lift my arm to a point that’s just short of straight up since the device has to go up into the joint. I’ve not been on anymore treatment medication as of the end of last year. I’m on my treadmill 90 min a day getting between 5-6 miles. Question is, will any of this limit my chances of taking a refresher and passing a physical, or should I just give up the idea altogether?
@ Robert K
Never give up on a good idea. With some supporting medical documentation and a medical release from your doctors you should be fine, if all else is within normal ranges and limits. Good luck.
Thank you for the reply. I’m not one who gives up easily. There will be appts every few months to monitor blood and urine for signs of any problems. These could be stretched out to yearly. I will disclose this to the physician giving the physical.
I have a driver who is taking Xarelto for Hx of DVT. What are the DOT regulations for this drug/condition please.
Thanks in advance
@ Company Nurse
The condition which the medications are being taken for will cause the most questions. Your driver is going to need a medical release form and supporting documentation to give to the DOT/FMCSA examiner. He will need all the information available to assist in his/her decision making process.
I was diagnosed with rheumatoid arthritis a few years ago. I take no medicine and have no loss of motion. I’m wanting to get my CDL but before I go any further I wanted to get an opinion before going any further. I have strong grip and no pain. Also avascular necrosis in my knees that doesn’t affect my day to day and forget it’s there to be honest which is why I ask as an after thought.
@ Michael B
Your diagnosis will raise questions, but if the condition does not interfere with the ability to perform the duties of a CMV operator, you could be fine.
Thank you.
I wear a leather lace-up non-hinged Arizona Brace on my right ankle. I work for the Post Office in California and drive 10 miles a day on the job. Can I do a driving test at the DMV or is there some other means where I could obtain permission from the DMV to drive with the brace on?
@ Richard S
You are not a class A license holder and do not fall under FMCSA guidelines. Check with your local DMV for your best answer.
I have a herniated disc in my lower back resulting in right leg weakness, no reflex, and some numbness. I am able to drive fine but wonder if I will be able to to pass physical in 3 months. I don’t need any pain meds now.
@ Marvin H
Your condition already presents with possible restrictions, if it does not impair your ability to perform all the duties of a CMV operator, then you may be OK.
I’m helping with an inquiry into whether an inguinal hernia exam conducted by a PA as part of a CDL Physical was conducted appropriately. Rather than sitting in front of the standing patient, the PA describes standing to the patients right at 90 degrees before asking the patient to cough while applying mild pressure with his index finger to both discern the inguinal ring and curve around the inguinal ring and into the inguinal canal about an inch. Still standing, he then reaches across the patient to do the patient’s other side with the PA’s right hand by twisting his wrist to the right to allow his right index finger to depress the skin’s surface to allow entry into the inguinal canal at the same depth. Is there any clinical support for this technique as described in a standard CDL Physical?
@ Mark F
DOT/FMCSA does not tell the examiners how to perform their examination. FMCSA expects the examiners to know their examination procedures and the guidelines/regulations of the FMCSA.
I live in tx and my medical card expires this month but I had surgery on my right foot to fuse my 4th metatarsal together I have a plate and 6 screws holding it together. Is that going to be an issue to renew because I still haven’t gotten the ok to go back to work. I’m in physical therapy now. What do I do when my med card expires and cant renew it?
@ Andrea J W
Once you had the surgery your medical card was invalid. Once you have been released to return to work, without restrictions, you will be able to get a new medical examination and card.
I was diagnosed with a bulging disc affecting my sciatic nerve. VA verified with CAT scan and advised consider a new career path and recommend not to have surgery. The pain in my back is increasing while the sciatica is stabilized. The pain is affecting my sleep. I have a DOT physical due in early Jan. I am concerned if i will likely fail the physical.
@ Devin E W
If you are class A interstate driving, it is highly unlikely that you will pass the DOT/FMCSA medical certification examination. By FMCSA guidelines you are not ‘fit for duty’. A lesser class license may fall under the states variances, so check with your states drivers license department for more info.
I had my gallbladder removed in April of this year. I’m physically healthy and in no pain just i have scar tissue inside. With three small scars outside. Im looking forward and starting a career change in truck driving and I really want my CDL-A in NYS. Will i have an issue at the DOT office?
@ Victor R
Should not be an issue, if all else is within normal limits.
I have just been told by my doctor that I have a torn rotated cuff K have been a garbage man for 40 years I have very limited use in my right arm of us says I can drive trucks can I or do I need to get cleared thru a dog docter
@ Mike K
Yes, if you are a class A driver, you need to be cleared.
I had a knee scope done a few weeks ago. My surgeon has cleared me, but what are the rules regarding my DOT certificate? Am I able to go back without any restrictions? Do I have to have another DOT exam? Thanks!
@ Sally
If you were released to return to work, without restrictions. then do a new DOT medical card exam and your good to go.
Does a appendix surgery disqualify a driver?
@ Mike
The surgery does not disqualify a driver. But it would require a new DOT medical certification examination, once released to return to work.
I have decreased range of motion at my left knee, left ankle, left foot, muscle atrophy and weakness in same areas as well after an accident. I walk with a limp and cannot squat down. Can I still pass a dot exam?
@ Mel
FMCSA, class A medical certification examination is going to require a full range of motion. A medical release form from your doctor may help, but be prepared to provide additional documentation.
I have a broken foot and my medical card has expired am I able to take the physical? In Oregon
@ James H
If you are class A, no.
I was injured on the job. I got released on 8/27/19 with permanent restrictions. No over head reaching or lifting. 25lb weight limit with my elbows flexed to my side. I drive the metro bus. I pass the test, but was told that I could not get my dot card because I have permanent restrictions. I had rotator cuff surgery on my right shoulder. I can still drive. I am totally confused.
@ Dorothy L L
Your examiner is holding you to a class A drivers standard, you fall into the states variances. Go get a second opinion from an examiner that know the differences.
I tore my rotator cuff on the job. just had surgery, and my medical card expires next week. What, if anything can I do to keep my cdl? Thanks in advance for any suggestions.
@ Andy
Your cdl is state issued and most states have a procedure to handle situations like yours. Check with your local drivers license department for further guidance.
I was wondering if I do not have a regular doctor and I have foot pain now but not normally (no diagnosis), but have full range of motion, would they pass me for the physical?
@ Mallory
If the foot does not restrict your ability to perform the duties of a cmv operator, you may be fine. And you should find out what is the underlying cause of the pain.
Hello…If a DOT driver is a diabetic or an unknown diabetic and he/she is spilling sugar in his/her urine, is it required to request his/her most recent AIC? We always perform a glucose finger stick if sugar is present in the urine, but if that number is under 200, is it required by DOT guidelines to get their A1C before determination is made? When is it required to request their A1C?
Thank you in advance.
@ Beverly
You should request a recent A1C when there is both a history of diabetes, of any type, and a sugar spill-over is present during your testing. DOT guidelines are letting you interpret them for the safety of the driver and the public at large. Support your decisions with proper supporting documentation.
IM a diabetic and I was off work on injury leaves and whenI I went to do my DOT physical they me I couldn’t get my certificate when I’m released back to work but when I was released back to work my Class A license was drop to a class C when I do my physical again how long will it take me to get my license up graded back to a class A how long do it take me to be able to drive Truck again
@ Ronnie E T
Your state drivers license department is in charge of this issue, check with them.
I had DOT physical exam on Friday but because I have limited movement in my LEFT FOOT actually they call foot drop, I was wounded in war and my nerve for foot is damaged and I have to see Physical doctor to clear and give approval and I call bunch off the doctors offices and receive lot off different answers so I’m really confused, anyway I’m mechanic full time and able to drive stick shift ( I couldn’t be mechanic if not able to drive stick shift) with no problem whatsoever, passing everything with no problems except my left foot, and I’m not sure that this doctor have no idea just because she said how I gonna be able to work with air brakes ( air brakes operate with same pedal as regular brakes ) I’m wondering now that I’m not be able to become truck driver what I always want to be, should I be worry or not for becoming truck driver
Thank you
@ Svemirko g
You will need a medical release form from your primary doctor explaining your situation and any limitations that it may create.FMCSA provides guidelines for the CME. The final decision falls on the CME and his understanding of the guidelines and how he weighs the possible risk and safety issues.
Thank you so much
I live in Alabama and I’m getting my CDL B for the first time I’ve already have my permit and I took the pre-trip and driving test and I passed with flying colors!! But the Dr that passed me on the physical gave me a one year and have to take it again but I listed on the paperwork 3 times that I had my left foot amputated on Jan 2, 2015.and he did not check the box about needing to get a weaver. Now after I’ve done all that the AL Dot says I have to get a SPE waiver but for local hauls the lady at the federal office said she can’t give me one becauce I’m don’t go out of state. And I don’t have any problems with any task we do.And I wear my prosthetic all the time.. What can I do?
@ Dennis
You fall under the states requirements and variances, not the FMCSA. FMCSA was established for class A long and heavy haul drivers. Go back and check with your local DLD for the best way to go from here.
I want a career change. I want to get a class A CDL license. I have no training. I want to go to a large trucking company or a school. The issue is I am missing fingers on my left hand. I was born this way. I can drive a car just fine. I’m want to drive an automatic truck. The trucking company I would like to work for stated that I would need a SPE test. Also, I was looking into going into a school. Both companies have no idea or are very much help on getting the SPE test. I have no training at all, so how am I suppose to get evaluated without training first? First I am thinking that I would have to pass the Dot physical, then get trained, then have someone come out and evaluate me for the SPE, but the paperwork is confusing. I just want to have the SPE waiver so that a major company would employ me.
@ Denise G
Talk to one of the cdl driving schools. They should be able to guide you in the right direction.
I know truckers that are missing fingers
. Major carriers usually have onsite physicians for DOT exams. The physician will make a reasonable decision based on how your hands are, and might have you get a medical waiver okayed from other doctors
All should be well if your only missing one or two fingers.
Can I still get a health card if I require a hand brake to safely operate the motor vehicle?
@ Zach G
You should be able to. You will fall under your states variances, so make sure the examiner is aware of job description.
I have a cdl class b and have M.S. I will have a physical in Dec. At this time I have no limatations and have all motor ability. Will this be a problem in the state of Md.
@ Eric
Make sure you get the CME to understand that you are a class B driver and bring any medical documentation to support your over-all condition.
I am a 50yr old Actively Employed Veteran Class A Regionally Dedicated Driver of 32yrs experience with a long history of degenerative disk disease, spinal stenosis, & formal narrowing.
Up until recently I have been able to manage my pain with Radio Ablation Therapy, Occasional Steroid Disk Injections, & A Regular Daily Physical Therapy Exercise Routine. (*No Medications other than physician prescribed & monitored moderately high dosage levels of Ibuprofen for Pain & Inflammation.)
I’ve recently received an MRI Lumbar Evaluation from my PCP, Pain Management Physician, & Neurosurgeon recommending an Open Lumbar Decompression (Single level) Laminectomy Surgery.
I have been assured that if I pursue this surgical option I will still be able to continue to drive at my current level with the added potential benefit of a 70-90% reduction in my current pain levels. They have projected a roughly 2hr surgery, followed by a three day hospital stay for observation, & an approximate 6 weeks off work for healing & Physical Therapy before returning to Normal Duty with no additional pain medications required.
I have been unable to find any type of information regarding this surgical procedure’s impact on a Class A Commercial Driver’s Career.
Any insight You & Your Colleagues can offer into to the Realistic Recovery Time, or More Importantly Potential DOT Physical Disqualification Risks to be considered pertaining to having this type of surgery would be Greatly Appreciated
@ Stephen
All you will need, following the surgery, is a full medical release from your doctors, without any limitations. If they have you on any medications, then you may need to provide additional documentation from your doctors. If you can pass the DOT medical certification examination, then you are good to go.
I have a class a with no restrictions and a medical certificate for a dot doctor. Got pull over and put out of service do to me missing my right hand how can I get a medical certificate and class a but dot put me out service for no wavier
Ps was missing right when took CDLs test and dot physical
@ Rodney B
WHAT? By federal DOT / FMCSA guidelines, you are required to have a waiver before being able to pass a DOT medical certification examination. The DOT officer is correct and you need to acquire a federal waiver.
SO A DOT DOCTOR CAN’T GIVE A SIMPLE RESTRICTION ON THE CARD TO SAY THE PERSON CAN STILL OPRATE A CLASS A TRUCK, SEE MY ARM IS TILL WITH ME BUT HAS LOST MOVEMENT & STRENTH DUE TO A TUMOR, ?
@ Kim
No he can not. By DOT/FMCSA definition, you are not fit for duty as a class A driver. If there is a restriction to be placed on your license, then it would come from your states drivers license department and would probably limit you to intra-state only driving. But check with your DLD to confirm.
I recently went for a examination to get my CDL-A medical card from one of those box medical companies. I passed everything but he said he wouldn’t pass me because of tingling in my feet,he said it was peripheral neuropathy. I have complete feeling in both of feet and still wouldn’t give it to me. My personal doctor is certified DOT and said the box doctor is not reading the law right. The box doctor is not even certified DOT and just read me something out of a book with the rules. My company said I have to have the test done only from this box company and will not let me go to my own doctor. Is there any recourse that I can take,thank you.
@ Glenn H
If the box doc is not on the national registry, then his examination findings are not valid. Check with your DOT certified doctor and have him help you out. All valid medical examinations must be performed by a DOT certified medical examiner, period.
Hi. I m a CDL OTR driver, and my medical exam expires in a year. I had a surgery for achilis tendom ruptured on my left foot. And now I have a cast on my left foot under the knee. Doc said its ok to drive a vehicle, but not walk on it. So I am currently using walking sticks to walk. I was driving an auto transmission truck. Can I still legally drive OTR? Thanks
@ Mehmet G
The surgery invalidated your current medical card and at present you could not pass a DOT medical card certification examination. You will need a full medical release from your surgeon, without restriction, before you can take a new DOT medical certification examination.
I have had a CDL in Oregon for over 50 years. About 6 months ago I separated my right shoulder and fractured the arm. I also have nerve damage in the right shoulder, so I can not lift my right hand above my head. I have good strength in the arm.
Will this keep me from passing the DOT physical ?
@ Harry W
If the shoulder restriction is sufficient enough to limit your abilities to perform the duties of a CMV operator, then you will have difficulty passing the DOT medical certification examination. Class A FMCSA guidelines require you to perform the duties of an operator without restrictions.
I broke both wrists in an on job accident a year ago. I’m currently in OT trying to get grip strength back. My question is what is minimum strength requirements for DOT physical? I keep getting different weights when I call dot examiners office. Orthopedic dr as well as therapists say I’m more than ready but my strength isn’t up to dr requirements. .. trying to see if need to find another dot examiner….
@ Sherry F
There is no set grip strength via the FMCSA guidelines. You need to be fully released from your doctors, without any restrictions. And you must be able to perform the job description duties of a CMV operator.
I have a CDL but primarily don’t drive anything bigger than a 5 ton. I’m considering right ankle fusion. Would I lose my CDL or have a restriction put on my license because of limited movement and potential slower brake reaction time?
@ Dave
Check with your local DLD for the best answer. This is a state DLD question.
I would like to add that the cancer was only in my esophagus and not through the outer lining to surrounding areas or lymph nodes The small tumor responded extreamly well to treatment per exam.
Hi Rich How are you doing my husband is going thur the same almost .
I had esophageal cancer and had radiation and Chemo Aug through Oct of 2018 and an esophogectomy on Dec 14 2018, I am now cancer free and not in treatment. I had a CT scan in May and it was clean. My fed med examiner will only give me a card for 3 mos at a time because thats when I get labs done for my oncologist. It will go to 6mos my next time. I think this is compleate bullshit and can she do this? I am cancer free with no treatment and no effects that will hinder my driving abilities. What can I do?
@ Rich
Yes, she can and you can go elsewhere for a second opinion.
Ok so I went and got my medical card so when I go to get my cdl permit I have it if they need it and on the the card it asks for your drivers licence number and if your a cdl applicant or holder I checked no for that since I don’t have it yet. So my question is when I get my cdl will my license number change if so do I have to get a new card? Also will I have to recheck the box that I am a cdl holder
@ Stephen E
You will need to check with your state DLD for that information.
I walk with a slight limp (left leg) due to an infection as a child. I work out six days a week, have a normal range of motion. I currently work with Pepsi as a sales rep. I am trying to move over to Frito Lay, I’ll be doing the same type of physical work (actually less physical) but driving a vehicle that will require me to have a DOT medical card. Will my limp keep me from getting the position?
@ Mike
The limp should not affect your getting a medical card. Just make sure you explain that you are not a class A long haul driver and that you fall under the states variances for your medical card.
Thanks for the answer, hopefully it works out.
I had a 5 way by pass open hart after recovery i got a stress test and a echocardiogram. Passed all test doc gave me the all clear to drive a truck. I passed my DOT Med exm and have been driving for a year, had to renew my card. the doc would not pass me with out a new Echocardiogram becuse my last one is 11 mouths old but my stress test is good for 5 years?
@ Ray
FMCSA requires a stress test every two years. ECG’s support the test results. The CME may request a new ECG to help in his decision making process.
I work for a trucking company. One of our applicants needs to get a Skills Performance Evaluation. Do you know how long the process takes? The doctor required it because he said he has diabetic neuropathy in his feet. Can he get a medical release from his neurologist and then go to a different clinic?
@ Teresa L
You could try for a second opinion with a medical release form from the neurologist. But you may still need the SPE exam. That one you will have to find a local examiner to perform the ride-along evaluation. Just a question, is your driver going to drive long haul semi or a lesser class license? It makes a difference.
I drive a 5- 6 ton 8- 12 passenger bus within the state of PA.
I have a workers comp injury since Feb of this year…which does not allow me as of yet to do wheelchairs…but I perform all other duties required.
I passed the DOT physical (as per her notes) today yet the Physicians Assistant is saying I have to get a Medical Report filled out after no restrictions are present.
But that isnt part.of the DOT physical.requorements…
Isnt that.illegal? Descrimination? Or something else?
@ Nancy
We are guessing that you are not a class A cdl holder. Which puts you under the states variances and not FMCSA. The FMCSA guidelines were developed for over the road, long haul drivers. The PA is not differentiating FMCSA and the states requirements. If you are a class A holder, then the PA is correct and should not pass you for any reason due to your ongoing restrictions. The state may not require a repport. Check with your state DLD for clarification.
When returning from work after a surgical procedure Is it the Doctor Who performed the procedure who returned you to work or do you need to see a DOT certified physician? If your physician who performed the procedure Clear you to drive a school bus but states in the note that you cannot do any lifting is there anything that prevent you from returning to work?
@ regina k
The DOT examiner does not return you to work, but he does need to do a new physical, if your state requires it. Best bet is to check with your local drivers license department for the best answer.
I just had a left total hip replacement. I have a CDL license in the State of Illinois would I be able to return back to driving trucks or would a prosthetic hip disqualify me?
@ Scott P C
It is not a disqualifying factor. Just get fully healed with full recovery, without any restrictions, and you’ll be good to go.
Okay do DOT have a exact amount of time to be off from work
@ Sara L M
Certain conditions and injuries have a set waiting time frame before a new medical examination should be performed. Other conditions fall under guidelines and do not have set waiting periods.
I walk with a slight limp (left leg) and will need a hip replacement in about 15 or 20 years. I have no problem walking, driving etc. And I am still pretty athletic. Will I have a problem passing a DOT physical?
@ Michael J R
It will depend on the extent of the limp and any limitations that it may present during the examination.
I walk with a limp because I have AVN @20%; I also have AS accompanied with occasional uveitis. Gabapentin, methotrexate, folic acid, lotemax & prolensa are the meds I currently take. I still work out, drive etc. Will I pass my DOT or are their exemptions, waivers or options I should take? Thank You For All You Do!
@ Tonya W
It will depend on the class drivers license you want to acquire. As a Class A driver you wooed not qualify. As a class B or less, you may fall under the state variances and be fine. Check with your state drivers license department for a better answer.
I have a class b Cdl & wanted to know if getting a Handicap parking permit would disqualify me for keeping my Cdl in Ohio
@ D
All depends on the reasoning for acquiring a handicap sticker.
In louisiana yes cause i was drivikg big trucks after i got out of the military and i went tp the dmv in my home town cause i had just got my second award letter from the va for my military injuries and since my % was over 60% u get to get ur drivers license and they give u the handicap plates and also another one for a spare vehicle that u may b riding in or driving so…. But anyways back on topic they told me i had to pick one or the other i said shit i make way more a month sitting on my ass then holding the steering wheel and grinding gears did so i took the better offer and gave my cdl back up
If your on dialysis are you disqualified from driving a bus
@ Scott
You need to check with your local drivers license department for the best answer.
Nope , I was doing peritoneal dialysis at night when I took my dot physical I had a letter from kidney dr stating I was able to work , just have that letter
I had my right big toe amputated. I have normal Functions and have been practicing everything i can remember from the exam and am able to completely do everything with out any problems. Will i need to complete an spe in order to keep my medical certificate?
@ Will J
If you can perform the duties without limitations, then you should be fine.
If I have lymphedema in my right leg but have no limits on this leg and reflexes are normal can I still drive a semi my name is randy (last name deleted by Admin for privacy).
@ Randy Z
Not sure what ‘this leg’ is?
@Trucker Docs I would imagine he is referring to his right leg since that IS what he began his sentence with…
Hi I was wanting to know if you have a spinal cord stimulator placed 2 years ago and have no issues now can you get a d.o.t. medical card? I have possessed a CDL for 20+ years
@ Dianne
With proper medical documentation, you should be able to get the medical card, if all else is within normal limits.
I am a above knee amputee right leg from a motorcycle accident in 2012.I wear a prosthetic and I have no problem getting around or driving.But I drive with my left leg.Obviously I can no longer drive a manual transmission.I plan on getting with a company that offers training.How do I obtain a medical waiver if I have never had a CDL?From what I have read,one must show that they can drive with no issues.I can not show that I can drive a tractor/trailer with no CDL.
@ Jimmy J
You will need an exemption form from FMCSA. Once you start the process you will need a medical examiner to ride with you to determine if there are any potential safety risk. Once released by him and the exemption papers in hand, you can go for the DOT medical certification examination.
its a form CDL-10 : Certification of Physical Exemption 49 CFR Part 391/390 its a form I filled out check box # 3 The occasional transportation of personal property by individuals not for compensation nor in the furtherance of a commercial enterprise. went to Texas Department Of Public Safety , provided the form for the reason because I couldn’t get my Medical Examiners Certificate and got the restriction so I wouldn’t lose my License from 1/31/2019 through 1/31/2022, its gives me 3 years before my license expires to heal my work related injuries . I don’t know if the Company will allow this restriction on my license for the fact that am on light duty with restrictions because they need a medical card for there file , on the day it expired on 1/31/2019 . do you think they will allowed this till I heal or would they find a reason to terminate me because of my medical card and work related injury . department of public safety told me before I can drive commercial trucks need to get my medical card first and they’ll take off the restrictions . I hope this is the best move to save my CDL from getting down grade and I hope the company doesn’t find a reason to terminate me because of the changes I made . I hope I did the right thing , how do you see this , I hope to hear your comments
@ Marcos V. jr
You will need to pass the DOT medical certification examination before you can drive, legally. To pass the medical examination, you must not be on light duty or other physical restrictions. Get healed from the injuries and them get a new medical card. That will save your cdl license.
they put a restriction on my license text : so I wouldn’t lose my CDL and do no test , exemption ? stating I wont lose my CDL ! I cant drive trucks yet till I get a release from restrictions , but it saves my CDL from down grading and once I heal then ill go get my medical card and change the restriction . I was only concern about not losing my CDL . longest I filled that form CDL – 10 : exemption is place on my CDL till I heal . then ill go get my medical card then turn it in to department of public safety and take off that exemption on my CDL then I can drive trucks once I turn in my medical card .
@ Marcos V
Great, and you did a super job on the follow-up.
I was in in a motorcycle accident. I broke both bones in my left leg below the knee. They both were completely severed at the ankle. I have a titanium rod in the larger of the two bones along with 6 screws, two of them in my ankle. To date I can walk with a cane but I still have nerve damage (pain) in 2/3 of my foot and part of my ankle.
Is it worth even trying to get recertified?
Since most trucks are now automatic transmissions I would have to use a clutch
@ Dave F
As a class A, OTR driver, you may not qualify. As an intra-state cdl driver, you may be fine. A lot will depend on the extent of your injuries and the restrictions the injuries impose. Check with a local DOT medical examiner for a more solid answer.
My company when I first started driving sent me to a Doc in a Box for my DOT exam. Which they paid for at the time. I passed the exam three years in a row. Then the fourth year I had a Doctor fail me cause I could not walk on my heel in my right foot. Sent me to the FMCSA for an exemption. FMCSA has in their form that I have to wear a brace. My regular Doctor has cleared me and also a Orthopedic Surgern has cleared me twice. Stating I do not need the brace. What do I need to do to keep from going through the FMCSA part of the paperwork every two years? I have full function while driving.
@ Jimmy
Go get a second opinion somewhere else and take your medical doctors releases with you. Once cleared by a new examiner, FMCSA would not require the brace, if it is not needed to perform the duties of a CMV operator.
if am taking a prescribe prescription for pain and it helps me drive can I still get medical card even though I take medications while at home and not driving
@ Marcos V jr
Probably not.
I was diagnosed with osteoarthritis about 4 months ago. They have given me Mobic which from what I can tell will not disqualify me. I have slight bone degeneration of my right hip and very slight in my lower back. Also, I have bone spurs in both elbows, however while taking mobic I have no pain and full range of motion. I have applied for a few trucking companies to get my cdl and work OTR. Will I be able to pass a DOT physical if I have no grip impairment and no range of motion issues?
@ Chris
The medication will cause questions, so you need a medical release form from your prescribing doctor and a working prognosis. You will need to be on this medication for 30 days or more just to make sure there are no ill side effects.
medical card issues: if I go to doctor and let him know about my medical condition and taking pain medications and longest I have doctor excuse because of a work related injury is it possible that if we have understanding that am on light duty and gives me a medical card which I know he will longest I don’t drive trucks until I get release could the company allow it until I get a release before I drive so I wont get down graded or would they see the doctor as of why , ill have two separate doctors one handling my work related injury and one handling my DOT medical card , driver license department told me its up to the DOT doctor to approve it or not would the company see it different conflict due to my injury doctor will ask questions about my injurie and having a understanding not to drive until I get a release from my work doctor
@ Marcos V
To pass the DOT medical certification examination, you must have a doctors release to return to work ‘without restrictions or limitations’.
My father went to a DOT physical for a new job within the same company. The DOT doctor said he can not pass because he could rotate his neck 80 degrees … It this correct..? Can you give me any information on the DOT regulations
Thank you
Robert O
80 degrees total or in either direction? FMCSA would require a greater range of motion than 40 degrees in any one direction.
Suffered a severe DE-Gloving of my left leg–shin to knee cap…related to operating a tractor mower at work– Leg required masive surgical repair and wound care follow up. The employer sent me to one of those I.M.E.’s and that quack caused more harm after being informed with documentation of Severe Hipo /Pelvis pain. Leg wound required the floatng back of the carnage and being secured with several hundred interior based dissolvable sutures , several exterior plastic sutures and large op-site dressing with a wound vac. This all happened in May 2018. To date.. nerve damage exists in the shin and knee , plus an MRI revealed a Labral tear of the posterior left pelvis. Pain and restriction of movement of the leg is constant . Surgery is scheduled… but my DOT Medical card expires this week.. I also must wear surgical support stockings due to the venous insufficiency. Do you think I’ll pass the exam ? Oh..the employer fired me before I was transferred into the Trauma Center.
@ Daniel M
You will not qualify for a new DOT medical card at this time.
I live in Ohio and have a pick line in my arm (IV). And take antibiotics. Am I able to still drive class B
@ Jeremy c
If your state allows it, then yes.
I hurt my rotator cuff and only have 35% range of motion. Can i still drive?
@ Ron c
Depends on your driver class.
I slipped and fell and hit my head
Was cleared with a ct scan and my doctor checked me out and cleared me for work do I have to recertify my dot physical before I go back to work
@ Dustin
FMCSA states that any injury that results in time off or any possible change in physical ability to perform the duties of a cdl driver requires a new DOT physical before returning to normal work duties.
Am on light duty working 2 hours a day doing office checking logs . Can I get medical card just so I won’t lose my cdl pay at my expense. … And get a new one later on from company doctor before I drive big trucks for the company how does this work or do I go to department of public safety and let them know I won’t be driving trucks till I get release . am only on light duty till I get released
Or CDL 10 FORM certification of physical exemption 49 CFR PART 391/390 or medical examiners certificate because am on light duty with restrictions and my medical card is about to expire on 2/21/2019 . What protects my CDL because company needs medical card when it expires am on. Workers comp due to injury . Dr my give only in the condition I don’t drive while taking medication because am only doing paperwork coordinator , sitting detail . Restrictions specific to neck and back . Need advice so I won’t lose my CDL and job.
@ Marcos V
As a class A driver, your going to have difficulties due to the facts that you do not even qualify to do a DOT medical certification examination. Your doctors note should be sufficient to answer any questions for the company.
@ Marcos V
You can”t pass the examination, so there would be no card. Employer and DPL have guidelines for this situation. Check with them first.
I have Cerebral Palsy (I walk) but I have some coordination problems and some limits on range of motion. Very mild case compared to others. Went for a DOT physical, doctor said he had never dealt with a case like mine, and was so unfamiliar with the situation he didn’t feel comfortable certifying me til I saw a neurologist who was familiar with my condition and the limitations it may place on driving as a CDL holder. I do not even know where to find a qualified neurologist, and I am concerned having someone who doesn’t know me or my situation examine me will result in a denial simply because they dont know/ dont want to know about my personal situation. My primary care physician is also a DOT medical examiner, but the job I applied to sent me to this guy. What should I do next? Is there anyone out there who has CP who got their medical card?
Thanks
@ Nick
First check with your primary doctor. to see If he would certify you to drive, then have him write a release for you to give to the other CME.
What are the neck size and weight restrictions for dot physical?
@ Stanley
The FMCSA, once upon a time, issued a guideline for neck and BMI for drivers. If those guidelines were followed it would have taken 60+% of the drivers off the road. So at this time there are no neck and BMI regulations. But some opportunist have used the initial FMCSA information to grease their pockets. If you have a true OSA situation then there are many other test and questions to be answered before requesting a sleep study. But if the test is being requested based on neck size and BMI, we would recommend seeking a second opinion elsewhere.
I just had surgery for a torn bicep that happened at work but while im out for therapy my physical card is going to expire can i still go for a dot physical or is there some kind of extension im able to aquire
@ Dave
You have to have a full medical release, from your doctors, before taking your DOT medical certification examination. FMCSA does not have an exception or extension. Your state DLD just needs to know you are out with recovering injuries and therapy and will have an updated medical card as soon as you are released to return to work, without restrictions.
I think I have carpal tunnel in both wrists will be seeing my orthopedic doctor in a couple weeks if I have to wear wrist braces can I still drive my school bus in Arizona
@ Dottie D
As long as you can perform the duties required by the bus company, you probably can. But, confirm this with the company first.
Hi my name is Steve and I was involved in a car accident resulting in my femur getting getting broke. After three months in the hospital I was told that I had drop foot as a result of my femur getting broken. That was three years ago and I am trying to get back to being a truck driver local equipment hauling .i have been told that I can’t do what I used to do in the heavy equipment hauling field.
i too have foot drop of the left foot from a herniated disk in the lower back this was 7 years ago do i have to get a release from a neurologst to get recertified for medical card?
@ bill
It would be helpful to the examiner and he would not have to ask you to get a copy anyway.
@ Steve C
You might check into intra-state only. That way you fall under your states variances and they may have no issues, if you can perform the duties prescribed by your employer.
Pinky
One of our operators had prostate cancer and started taking chemo, he’s very weak and had to be sent home a couple of times. What are policies determining if this operator is fit to drive? There should be some procedure if an operator is taking some type of medication that deters the operator from driving safely. Please send some advice.
@ Ophelia P
Your driver is disqualified via FMCSA regulations. A new examination would have to be performed to determine his ability to safely operate a CMV.
Is there any restrictions on getting a dot physical with a spinal stimulator that I turn off while driving?
@ Veit P
You are going to need to provide supporting documentation from your doctors, before you will be able to do the FMCSA medical certification examination.
I have a bladder osteomyelitis, I’ve had it for 8 yrs. And been able to drive with no problems passing my DOT physical. This time it was a problem. There was blood in my urine, protein, and bacteria in my urine. These will always be in there. Why is it this time I could not pass my DOT physical?
@ Robert Mc
Just get a medical release form from your doctor explaining your situation and condition, then you should be OK.
I had Rotatator cuff surgery 4 weeks ago and my certificate expires in 3 weeks. I know I can’t pass an exam right now. Is there something I can do so I don’t loose my CDL. Is there an extention of some kind?
I have a driver who went for DOT exam, and his arm was sore and the Nurse Practitioner would not pass him because he could not pass the arm resistance test. She told him he had to come back in 2 weeks after his arm got better to see if he could pass it then. Can he go to a different doctor and if he passes that drs. exam, can that be done?
@ Terry H
Short answer, Yes. FMCSA set specific guidelines for the medical examiner to follow. Part of the drivers job description, according to the FMCSA, requires a normal range of motion, without any limitations or restrictions.
I have been a truck driver for over 45 years. I just turned 65. Went in for my recert on 10/17/18 I have been carrying a cane for occasional use but I can walk without it. I made the mistake of taking it in with me to my physical and the physician asst. took one look at my cane and I knew I was in trouble. I walked across the room and back unaided. I bent over and I squatted down the only thing was on the squat I put my hand on the table to steady myself. On the form it says I meet standards but periodic monitoring required. That I’m qualified for 3 months if I have a SPE certificate. The company will not let me drive. What can I do?
@ James B
At the end of the 3 month certificate, you go get another DOT medical card somewhere else.
Hi I just went for my dot medical exam and my physical was put on hold. Doc said I need a clearance paper from my nephrologist. I had a kidney transplat early this year and they found protein in my urine.. Is there a certain form I could print out or is it just a note the doc writes? Thank you for your time.
@ Mike
Just have your doctor write a brief medical release form, without any restrictions, and you should be fine.
my name is Akhtar hafeez .I am 43 year old.i have a left leg effected by polio in my childhood.i am tring to get the cdl licence A ,B,C any kind of commercial driving licence. I can drive car automatic and stick shift easily.i can driver any automatic van car .i can walk and my normal daily work easily.please guide me what kind of commercial driving licence its bettere for me.i am really interested in class a and b.i have visited dot examiner doctor in Orlando florida.but doctor reject me for dot duties.kindley guide me or help me how i can get the dot test.
@ akhtar
Class A is long haul, interstate, and big rigs. Class B regs falls more under the states variances and may be a better chose. Your examiner must know the FMCSA guidelines and the state variances so he can make the proper evaluation for your medical certificate.
Can a driver with down syndrome be disqualified from a CDL or regular drivers license?
@ Terry W
You need to check with your local DLD for the best answer on this issue.
hello.. I have recently damaged my right wrist.. my question is, can I still train new recruits for my company without being able use 3 points of contact while climbing into the passenger seat.. I can safely do so but my boss’s are unsure.. (cannot push or pull anything over 5 pounds with right wrist)..
@ Charles P
If you are a class A license holder and unable to perform the duties of a class A holder without restrictions, then the answer would be no. Once fully released to return to work, without restrictions, a new medical certification exam is needed and you are back in business.
Scenario-
Driver with current CDL gets a urinalysis result back showing positive for a legally prescribed medication. Driver gets note from prescribing physician staying they can drive even with the prescription (as per FMCSA regulations). Safety manager at driver’s company says go get a DOT Physical. Driver goes and gets physical that evening (with prescription information included on long form) and walks out with a 2 year DOT medical card.
A few days later, same safety manager calls and says driver is medically disqualified because said manager sent the original urinalysis results to the doctor who qualified the driver, and that the doctor stated they hadn’t seen that prescription and arbitrarily disqualified the driver without additional phone calls, messages, request to come back in, etc.
Ultimately, my question is this. While I know the doctor has the ability to disqualify even if the driver’s primary says they are good to go, can the doctor say AFTER giving a medical clearance that the driver is disqualified despite it supposedly being based on information that was included with the original qualification? Basically like saying “oops, I changed my mind” and not even notifying the driver.
Apologies for the lengthy explanation, but this fiasco had been ridiculous. Yes, this is a current situation still actively being played out and I’m just looking for opinions while I research as well.
Cheers.
@ Seth
You should check with your state DLD to determine if your medical certificate has been disqualified. If the DOT examiner had all the available information, then there should be no “oops”.
Would I have to notify the recruiter or DOT physician about psoriasis?
@ Adrian c
No, to both questions.
I had one hip replacement,going in for the other hip replacement in a month,after recovery,having both knees replaced,then having treatment for osteoporosis arthritis in my spine,since out on std,being treated for high blood pressure,driving truck for 38 years,will all these keep me from driving a cmv or getting a med card
@ Dave G
If you can perform the duties of a cmv operator, following a full recovery and full work release (without restrictions), then you can return to work as a driver. You will need a medical release form from your doctors and a medical release form from your prescribing doctor for your BP meds.
After 6 months off work, because my employer said they had no light duty for me, and 6 weeks of Physical Therapy for my knee symptoms only, Dr. Released me to Full Duty, but still has me doing another 4 weeks therapy to address numbness, tingling, loss of sensation in same leg as knee. This was on 9-13-08. Employer expects me back on 9-17-08 as soon as I complete my DOT physical that morning. . This doesn’t make sense in my mind. In 6 months time I’m only now starting therapy for numbness, tingling and loss of sensation in my leg. . .which I reported from day one. . . .but now I’m expected to back to work full duty on 9-17-18 after completing my Dot physical that morning. . .here’s the kicker. . .the same medical office that is handling my workers comp will be doing my DOT physical.
@ Matthew
The doctors office will not pass you for a DOT medical certificate due to your WC and therapy. You, at present, do not qualify for the examination.
I am having surgery on my right foot for the second time in 12 years the first one they removed my little toe and bone all the way back to my ankle because of bone infection the bone is infected again this time they are removing infected metatarsal bone all the way up to the fourth digit I already have blance and trouble feeling pressure applying brakes how will this affect my cdl going forward
@ paul c
It should not effect your CDL, but does effect your medical certificate. You will need a new medical certificate once you have been fully released from your doctor.
If you have been driving over 20years,and downgraded your class A 2 1/2 years ago,now you want to drive again,but missing 4toes on right foot,since the late 70s,would I be able to get my medical certificate again?
@ Wilfewd R
If it does not limit your ability to operate a cmv safely, then you should be fine. Bring any supporting documentation with you, it helps the examiner in his decision making process.
I have a herniated disk in my neck, they initially wanted to perform surgery. After a few opinions, I found a doctor that chose to send me to Physical Therapy instead. I’ve been going to PT twice a week now for 3 months, next month in September I will only have to go once a week and once the month ends I will be done. My medical card expires within 4 days and I need to get it renewed. I am not taking any medications, my ROM is pretty much back to normal and I don’t experience any pain just occasional muscle tightness which my PT says can be alleviated by massage. I have started doing some light weight training also. Will mentioning my herniated disk prevent me from getting a 2-year medical card? In the meantime I have been terminated from my previous job because my FMLA expired, it’s a long story filled with lots of loopholes and nonsense. I just want to get back to work at a better company. Do I have anything to be concerned about or should I relax?
@ Jack
If you can perform the full ROM without discomfort or limitation, you should be fine.
I live in Minnesota and have a class B license and drive a flatbed straight truck. I have an interstate card because we cross into Wisconsin somtimes. I injured my midback two months ago putting my tarp away. I am still in physical therapy with work comp. I have been doing light duty work in our warehouse since the injury. My health card expired a few days ago and when I went to the dot doctor to recertify she disqualified me and said I need a skill performance evaluation because of my injury. I just need to know if this is true or is there an exemption in my case.
@ Scott K
Not true. You do not even qualify for the DOT examination with injuries, work limitations and WC. Once fully healed and releaased from all doctors care, then go for your DOT cert exam.
Can rheumatoid arthrist be a reason for failing the dot physical. It’s is not aggressive or noticeable. I just take meds for it.
@ Lisa
If it does not hinder your ability to operate a CMV, then there shouldn’t be any issues.
I had back surgery for a herinated disc in ‘98. In 2015 I had another herinated disc but I’m not on any medication. I lost 20 lbs and this helped a lot. Can this prevent me from CDL med card?
@ Lynn
Not the surgeries but the ability to perform the physical duties required of a CMV operator, without restrictions, will be the primary question.
Can I get a card missing 1 toe on both feet there both 2nd toes
@ Roger h
As long as you can perform the duties of a CMV operators job description, you should be fine. There will be questions as to the loss of the toes, ex. medical reasons or accident.
What about a shoulder replacement will I need to be cleard
@ Ray
Best with a medical release form from your doctor and no restrictions.
If you lose a toe due to having a diabetic ulcer, but otherwise have no issues, do you still qualify?
@ Charles M DuB
With medical documentation and a medical release from your primary, and all else on the exam is normal, yes
I recently saw a patient for DOT physical. Patient had lumbar discectomy roughly 7 weeks ago. Examination overall normal; good ROM, no spinal tenderness, and incision sites look like they are healing well. Patient only taking tylenol as needed for pain. Elevated BP on exam and so patient granted a 3 month certificate. Advised me that he had been cleared by his surgeon and has another follow up with the surgeon in 2 weeks. Since he is coming back in a few months anyways, I asked him to bring notes from the surgeon when he returns for BP check. If his exam was abnormal I definitely would have requested a note prior to certifying for 3 months. Was this appropriate? I find it is difficult as there really are no clear cut guidelines for MSK surgeries.
@ Chloe
If the driver was able to perform the duties of a CMV operator, in your opinion, and only his BP held him to a 3 months card, you are fine in your decision.
I have dm2 which is now under control with oral medication. I want to renew my dot medical card. I have over the last year had ambutation of 2 picky toes and half of my right great toe. The most recent was a month ago which was my left pinky toe. I have letters from my podiatrist and endroconologist both stating that in their opinions there is no restriction on me operating a cmv. Is that sufficient enough to pass the dot physical
@ Charles S
Make sure you are fully recovered and released from surgical care first. Also bring a copy of your last a1c results. It will help the examiner in his final decision making process.
I am a CDL B driver. 6 Weeks ago I had knee surgery to repair a torn Maniscus. My DOT med card expires on Saturday July 21st. I went to have a DOT physical this past Friday on July 13th, Even though I have no restrictions for driving, she made the determination that I have a restriction. If this was my left knee, I could understand it. She told me that I can have know restrictions, Yes, I am on short term disability and I am unable to perform the physical portion of my job. I passed every part of the physical exam and had I not been honest I would have past the exam. I am wearing a brace on my leg and all I had to do was taking that off before going into the Dr. office and she never would have known. I am annoyed because this is my livelihood. This seems very unfair as it is not a physical for my job it is a DOT physical to determine if I can operate a commercial truck safely!!! Is this something that they can actually disqualify me for my med card?
@ Rich H
You are class B driver and thus you fall under the states requirements and not class A FMCSA regulations. Your examiner should know both the FMCSA and your states variances. Go for a second opinion and explain that you are class B not class A.
If the driver is on partial permanent disability due to a preexisting elbow injury which limits the weight of the arm to 25 lbs and no repetitive pushing, pulling, or lifting with the arm, would that disqualify the driver from getting a DOT medical card for a commercial vehicle?
My husband just had deep brain stimulation and they installed a neurostimulator can he still drive a school bus in Kentucky
@ Sherri
You need to check with your local drivers license department for the best answer. He would fall under the states variances.
My Husband was born with out the lower part of his left arm he just has it to his elbow he has never had a prosthesis and he has never had any type of restrictions on his drivers licence or in the work place would he be able to pass a DOT physical to obtain a CDL licence? Thanks
@ Kiley L
Check with your local drivers license department for your best answer.
In 2006 I had a bike accident causing a tri mal ankle fracture with non-union. Because of this I was granted disability and have not worked since. I have a strong aversion to opiates so I’ve treated this issue with marijuana (have my medical card). I’m only 40 years old and cannot do this anymore. Would abandoning my medical marijuana card make it possible to obtain my CDL, or does my injury, which has little to no effect on my driving, make it unlikely to get the license/pass the physical? A driver friend of mine told me that I could get licensed and pass the physical, but I would probably not be able to locate employment based on insurance companies refusing to cover me.
I have ulcerative colitis and take generic lialda. Since being on the medication, 10 months, no flares. Is this going to cause an issue when I fill out the form and will it stop me from getting the DOT physical approved?
@ Chris
You may need a medical release form from your prescribing doctor, but otherwise you should be fine.
Question, I am a CDL driver in NH can I drive and pass my DOT requirement if I have (RA)?
@ Ann Marie
If your condition does not interfere with the safe operation and the ability to perform the duties of a cmv operator, then you should be able to pass the DOT medical certification examination. Any restrictions or medication will require a medical release form from your primary doctor.
I have scoliosis but no pain. also I’ve had my aortic root replaced and currently take blood pressure medication due to the surgery but my bp is always at normal range will this cause me to fail the physical
@ Justin
It may cause questions, but should not hold you back. Your bp meds will limit your medical card to one year and you will need a medical release for filled out by your primary doctor, without restrictions, once you are fully recovered snd released to return to work.
I am fully recovered. just will be taking the bp meds for now on just to insure everything stays in normal range even with out taking it my bp is normal it’s just a to make sure
I have not seen anything close to my question forgive me if there is one and I didn’t see it – I got hurt on the job raising the landing gear on my trailer. I had a ruptured disc in my L4 . After surgery im still in pain and now after 3 MRI’s they doctor is saying I have nerve damage and nothing more can be done. He says I will have to take pain meds the rest of my life and thats all that can be done. I also have occasionally, usually at least once a day if not more, numbness from my right knee to my ankle and sometimes it goes across the top of my foot and into my toes. The numbness is not complete numbness but enough to where my leg feels like someone elses leg is attached to my body. The Medication he has me taking is Oxycodone and Gabapentin. – can I still operate a commercial vehicle under these conditions?
@ Ron B
You will not pass a DOT class A medical certification examination to drive interstate. You might want to check with your local drivers license department to determine if you can drive cld intra-state only. Your medications and your condition may be acceptable under your states variances, but not the DOT/FMCSA.
Thank you for that reply, my situation updated today so I thought I would update my question and see if my situation as it is now would prohibit me from operating a commercial vehicle. I had another MRI performed and it shows no new rupture as the third one had showed. The Doc says my body probably absorbed the material. The pain is still there so he ordered a Myelogram/CT scan – I got the results of that today and it shows I have a bone broken between my L4 and L5, sorry I don’t know the technical term of the bone. The doc says the solution is a fusion. Doc says I may still have pain after the surgery and of course I will be stiffer. So with the pain still there plus the injuries to my shoulders and right foot I will need to be on pain meds the rest of my life. Doc says because I have been taking narcotics for so long due to the injuries I will most likely have to remain on them. So, will the fusion result in my not passing? Will the Meds cause me to fail? thank you
@ Ron B
Pain, narcotics, and prolonged injuries don’t present a picture that says you are going to be driving anytime soon. It is highly unlikely that you will pass a DOT medical certification examination. That being said, wait until everything that could be done is done and then ask the question. Good Luck
FMCSA docs state you cannot drive a commercial vehicle if you are currently taking narcotic medications. Other medications that may have a tendancy to cause drowsiness are on a case by case basis and may be waived via a DOT Examiner decision. If you are on narcotic medications and you have an accident that injures or kills someone you could face criminal prosecution despite a doctor saying it is ok to drive. Keep that in mind.
Yes you can still drive, I take those meds and as well as other pain meds and still pass my physical to drive state to state!
My husband has cirrhosis. He is due for his dot physical but would not pass at this time. He is going to be evaluated to be placed on the liver transplant list.
If his medical card lapses will he have to have to start all over to get his CDL, after he receives the liver transplant.
He has had his Class a CDL for over 30 years.
@ Wilma N
You need to talk to the state drivers license department and explain your husbands situation. They should be able to guide you from there.
I have recently been diagnosed with Complex Regional Pain Syndrome in my left arm resulting from a surgery to the ulnar nerve. I understand that there is no cure but it can go into remission and possibly result in a reoccurrence of the condition. Would this disqualify me from holding a CDL license?
@ Roger D
CDL license is a state issued item, but your condition will raise some questions with the DOT medical certification examiner. If you can, provide a medical release form from your doctor to the examiner. This will help the examiner understand your situation and allow him/her to make the best possible decision regarding your medical certificate.
I had type 2 diabetes last year but I have got it under control with 2 oral medications but I have lost my pinky toe and half my big toe on my right foot due to the disease this all happened after my privous sign off on my physical. Will I be able to renew my dot card in California
@ Charles
As long as you can still perform the duties of an OTR driver and you have your diabetes under control, you should be fine. Make sure you have a medical release form from your doctor, and if possible, a copy of your last a1c results.
Do I have to recert my dot physical for a workplace injury not resulting in time off but light duty?
@Kathy
Yes.
my husband has had a CDL for over 30 years. In Aug. he obtained an injury from our farm equipment. He has had several surgeries on his hand and arm. He is currently in physical therapy and its time to renew his medical card. Right now he is unable to drive but he has to maintain his CDL to keep his job. We live in Texas what can we do?
@ Connie
Check with your states drivers license department and explain the situation. They should be able to help accommodate your husband.
Would an individual who has ever engaged in self harm or attempted suicide in the past have a chance of passing the DOT Medical. Talking greater than 3 years in the past with zero relapse, was prescribed medication for depression and regular visits with a doctor but went off medication and doctor visits less than two weeks after the incident. I don’t have a family doctor or anything like that so I can’t have them say “he’s fine” “no future risk” exc.
@ Zacharia
FMCSA has some pretty strict regulations on self-harm patients, and their meds cause questions also. Make sure you can get medical release form from a doctor before you go for the DOT examination. Also check with the FMCSA regarding time frames from medication secession.
I was involved in truck accident and diagnosed with ptsd when I get close to another big truck my symptoms act up and i get so upset I have to pull to side of road or get away from traffic until I can function again .will ptsd keep me from passing dot physical?
@ Roger d
Uncontrolled ptsd is a safety issue. FMCSA wants the CME (examiner) to have as much information as possible to help him determine the safety of both the driver and the public at large. Controlled ptsd will need a medical release form from your treating and prescribing doctors. PTSD is not an automatic disqualifer.
Doc thanks for info on ptsd Went to dot doctor he passed my physical without asking about ptsd clearance and back to work clearance for lower back surgery and neck fusion c5-c6. I went to my attending doctor today and told him I passed physical without being cleared for work. I also have to go for another mri to see why back surgery didn’t go well.What should I do or who should I contact ? Thanks!!
@ Roger D
You should not have passed a DOT medical certification examination with your present spinal conditions. Some one really dropped the ball here. Contact FMCSA and let them know your situation and report the CME that passed you.
I passed physical without being cleared for work clearance for lower back surgery dot doctor didn’t ask for work clearance. also had fusion c5-c6 on neck as well as ptsd. I went to attending physician today told him I passed physical without being cleared for lower back surgery which I am still having problems with. the doctor didn’t think I was legal doing that because of the problems I am still having and not being released for work. what should i do to correct this issue or who should I contact Thanks
I am on workers comp waiting for back surgery on pinch nerves l/4 l/5 s1 waiting on approval from workers comp. my dot expires in 3 weeks, went today for recertification and the doctor said no because of previous injury and the surgery. Orthopedic surgeon said i can work regular duty just be careful. I am a spotter in the yard.
@Fred
If being a spotter in the yard requires you to maintain your class A license, then you would not pass the DOT medical certification examination. Because you are on works comp and have physical limitation. FMCSA regulations do not allow for what could be seen as a safety risk to the driver and the public at large. It isn’t about what your orthopedic surgeon has to say about your work capabilities, it is what FMCSA guidelines for the DOT have to say.
I have a permanent weight restriction of 75lbs with a 35lb restriction over head because of tendon surgery (elbows ). I am able to move my elbows perfectly and no longer under a physician’s care, can I still get a DOT medical card?
@ Phillip Z
According to the FMCSA guidelines, based on the job description of an over the road driver, you would have difficulty passing the medical certification examination. That being said, things have changed in the driving community over the past 10+ years and weight restrictions have shifted within the company requirements. You may pass the certification examination and not the driving job description of the company. If you know what company you will be driving for and you have a copy of the job description, you may pass the medical certification, but be prepared to answer questions about your restrictions. And check the FMCSA sideline for a job description for an OTR driver.
I am a nurse case manager with Worker’ Comp
my question does DOT allow drives with CDL to drive long distances with a spinal cord stimulator
thanks!
@Penny
A lot will depend on the case conditions and any restrictions placed on the driver. Each situation is supposed to be evaluated case by case and final decision making should come from an understanding of the regulations and guidelines set forth by the FMCSA.
I’m getting rdy to go get a dot physical about 3yrs ago I had my c-6 c-7 fused when I was released to go back to work with no restrictions and i have no more symptoms of pain or anything I haven’t seen that Dr since btw it’s for a class a
@ Rick
As long as there are no medical restrictions and a decent range of motion of the spine, you should be alright. The examiner will be looking for limitations that would pose as a safety risk.
I had surgery on my left lateral meniscus, Will I be able to take my drivers test still with a brace on my left leg?
I was in a auto accident and off work for neck and back pain, I start physical therapy and am off work. If my doctor released me to go back to work with no restrictions but am still doing physical therapy would I be able to pass a dot exam or would I have to wait to be done with therapy also.
If I get my verdabrae fused in my neck and carpal tunnel surgery on both arms will I be able to get a DOT card afterwards
I am a school bus driver due to renew. I have my class B & recently had to start peritoneal dialysis at home, which I perform at night. Will I b allowed to continue driving a school bus?
I was diagnosed with spinal stenosi and had neck surgery c3- c6 fusion I have 51° to right rotation and 65° left rotation. How long after surgery can I go get DOT card back. Do I have to wait 3 months because my doctor might release me sooner.
Good afternoon,
I had a bicep tendon tear surgery two month and I have to take a dot phisical. Will this be a problem and get rejected because of it?
They took the cast out a moth a go and I already have 100% full use of my arm and recovering strengh rapidly.
Please let me know.
Thanks
I’ve had rotator cuff surgery if the doctor clears me to drive but no lifting will this restriction stop me from passing the DOT physical
I had this repair done and didn’t have a problem with the dot physical.
Can you drive after a liver transplant.
@Joe
Yes. There will be a wait period and you will need a full medical release from your doctors.
I recently had an Umbilical Hernia repaired.
Went for a DOT EXAM in order to take the CDL TEST.
I Passed the Physical portion of the test. The Physician asked me to get a Relise Form signed by my DR.
The Dr signed the Release and Checked Off OK to Work and wrote, can not lift anything over 15lbs for 6 months.
I took it back to the Physician and was told I Failed and need to come back in 6 months.
From what I’ve read the FMCSA has nothing staying that the Restrication is an automatic Fail. It states that would be a Company Policy Issue.
I’m just trying to take the Written Test right now. Could easily be 4 to 6 months before I even get a License.
What can I do it go to show this Physician that it’s OK to Pass me and give me the DOT Certificate.
Thanks in Advance
i messed my back up have 3 bad discs in my lower back i am in a lot better shape then i was been off the road for 6 years also i have nerve damage in my left leg my ???is do i have a possible chance of getting my cdl back what ss in paying is not enough
@Pete
With nerve damage, depending on your restrictions, will cause questions but should be evaluated by the medical examiner. Make sure you take a medical release form from your primary doctor explaining your present condition and prognosis.
i have to have spinal fusion on lower lumbar L4/5 and L5/S1 will this disqualify my class a cdl
@Dmt
No. Make sure you are fully recovered, with proper documentation, before your next DOT physical.
Hi Doc.
I have L1 & L2 & possibly L3 Spinal Lumbar fused. I drive a truck. But lately it has been hurting bad. It’s need a few years when I was diagnosed with it. I know I am not wordings this right, but my lower back sometimes kills me. Can’t bend over for only a minute. Can i still keep my class A cdl?
I am school bus driber and I had a total knee replacement in June. My surgeon gave me a letter on stating that I could return to work without restriction. The school I work for are asking for a letter from a DOT doctor that certifies me to go back to work. I am getting conflicting answers from a couple of DOT doctors. One said all I need is a letter from the surgeon specifically stating that I am not a risk to drive commercially, yet others are telling me that they cannot give me DOT clearence to drive without retaking a complete DOT physical. Which one is true or what is correct?
You need a whole new DOT physical because your knee surgery would disqualify you even if your medical card hasn’t expired yet. Anytime you acquire a medical condition that would otherwise be disqualifying, you’re technically supposed to report that and get a new exam when your treating physician clears you. Just be sure to bring your medical clearance letter to your exam.
I have had two neck surgeries since Nov . First was micro disectomy second was fusion of c6-c7 I am not sure I can pass a dot physical what are your opinions
I work for fritolay I had surgery 2 year’s ago neck fusion on c4 c5 c6 c7 I was out 6 month’s total had my surgery was back to work 3 month’s later I was able to pass the DOT PHYSICAL and back to work so far so good ..good luck
@Richard
Once you’re fully recovered and released to return to work, make sure you have a medical release form from your surgeon when you get ready to do your DOT physical, and you should be fine if all else is within normal limits.
@Carl
They are both correct – yes you need to retake a DOT physical exam, and with proper documentation from the surgeon, and without restrictions, you should get a new medical card.
Is a driver medically qualified to drive with a walking cast on his right foot?
@Tim
No. And, once the cast is off, you need to have a new DOT physical done to be medically certified again.
I had to get a D.O.T. physical as a pre-qualification for a “non-CDL” delivery position. I am legally blind in my right eye (20/200), but my only restriction for my regular driver’s licence is an outside rear-view mirror on the drivers side. The physician showed me where there is a “waiver” for that part of the test, but he didn’t know what the waiver was or how I could see if it would apply to me. Can you explain how I could get a waiver?
@James
Check with your state drivers license department.
I have had a Class B CDL in Ohio for 27 years. I wanted to go back driving trucks but became a Below knee amputee 2 years ago. Can I still drive and do I need to retest? I was driving when my amputation happened.
Thanks
You’ll need a skill performance evaluation before you can be certified. It has to be done by an orthopedist or physiatrist.
https://www.fmcsa.dot.gov/medical/driver-medical-requirements/skill-performance-evaluation-certificate-program
@Carl
Sounds like a driver license question – check with DMV.
For medical certification you’ll need a waiver from FMCSA.
Are hip replacements allowed by DOT physicals?
@CW
Yes, as long as you can continue to perform your daily driving duties.
Trucker doc a question
I am currently on med leave for hip replacement and realized my physical will expire before I am able to return to active status to get it renewed
Is there a way to put it off until I get back to medical clearance or will my license be suspended?
Kris
Can a officer suspend your dot medical card,and disqualify you from driving a commercial truck?
@Rob
Not enough information here, but with reasonable suspicion, yes, an officer can suspend you from driving.
My name is randy my question is i have minor lymphedema in my right leg but i have full use of my right leg will that block my ability to get a medical card thanks
@Randy
With proper documentation and a medical release from your primary doctor, it will then fall to the medical examiner to make the final qualifying decision.
I have eye lens implants. One allows me to see distance and the other is for reading up close. Yet the dot guidelines say I have to have at least 20/40 in both eyes. Do I need to get a corrective lense for my reading eye to pass the physical?
@Michael
Yes. You must be have 20/40 or better in each eye, and both eyes, with or without corrective lenses.
I have varicose veins will i be disqualified from getting class a license and if i bought tent hoses would this help me pass
@Joseph
Compression hoses will definitely be a plus. And you really need to reconsider a class A interstate driving career which has you sitting for up to 11 hours a day.
I have drop foot on the right side.
Will i qualify for a commercial drivers certificate?
@John
Going for a class A interstate, it’s going to be difficult at best.
Intrastate only might be a better choice.
Hello, I had rotator cuff surgery and I can’t drive for at least 2 months and my medical card will expire within a month, can I start the physical exam and finish up when my doctor clears me or just wait until I’m healed Thanks
@JLB
No, you must wait until you’re healed so that you can pass the medical examination. And, check with you local drivers license department to explain your situation, because the medical card on file will expire in the meantime.
By passing means what? I had the same rotator cuff surgery and my DOT doc said I had to lift 50lbs before I could pass the physical. At present I have a 5lb restriction but I drive a bus for a college and never lift anything.
What gives?
@John
Explain your job requirements to the medical examiner. You should be evaluated based on your job, not by FMCSA class A driver.
I recently injured my knee and am being treated but I need to Renew my medical card how will this effect my ability to obtain a new card?
@Mike
If you can perform the duties of a CMV driver, it shouldn’t be a problem.
I have just completed my FCE after having 2 surgeys where i had two seperate fusions of C4 C5 of my neck. I was given a neck disability score of 82% and can only rotate left and right 20deg. Will that keep me from obtaining a DOT physical card?
@Jay
If the limited ranges of motion do not allow you to safely perform the duties of a CMV operator, then you will not pass the DOT physical certification examination. You may want to check into intra-state only, but the same questions are going to arise.
Hello I’m trying to get my cdl but have been diagnose with myotonic muscular dystrophy. I’m worried that it will interfere with me getting my cdl……any information and advice would be greatly appreciated
@Yvette
A lot is going to depend on what class cdl license you are going to go for. If it is a class A, then you will raise may questions, because you will be a potential safety risk.
But if you are going to be state restricted, then you fall under the states variances and not FMCSA. If so, then you want to check with your local drivers license department.
Thank you for your response….I found out when my father suffered a heart attack they couldn’t figure out why so they did a biopsy on my aunt and myself since then I see a neurologist 2 times a year…. I have no heart problems as wel las no respiratory problem and hardly have any symptoms with the exception of a little tightening of leg muscle so I guess my next question would be if it hasn’t had a really bad affect would that matter?
Also the school I will be attending only gives both a and b classes together but I’m almost 100% sure I don’t want to go across state mainly local but want the option of going across state
I have a spinal stimulator due to stenosis. Will this be reason to fail my DOT physical. I have a class B with an air brake endorsement. I am a manager and perform as a fill in driver only. I am not a full time driver. Thank You
@Brad
Make sure you have a medical release form from your doctor explaining your condition. And explain the type of driving that you would be doing to the CME. With the proper documentation, you should be fine.
I had a Worker’s Comp. back injury approximately three years ago, I then obtained a attorney, There was no permanent injuries to my back I had approximately a year and a half of rehabilitation, which included physical therapy,and actual puncture. I had to see a physician who was a mediator, to determine the severity of my injury It was determined that I had 11% permanent disability due to my age. My primary physician informed the DOT doctor by letter that I was cleared to return to work with no restrictions. I was told that my primary physician latter was not acceptable,I was just Disqualified to receive my DOT medical certificate, other than that I passed all the necessary requirements, I have been working as a Uber driver now for the past ten months, with over 3500 trips
@Derek
You would be disqualified as a class A driver, but could qualify as an intra-state driver. We suggest that you check with your local drivers license department to confirm your situation.
Hello there again Doc. What I was applying for was for my class B license, to drive a city bus, and my previous work I was a concrete Mason, I was cleared to return back to work with no limitations. I brought back a letter as the DOT Dr. required me to do, from my doctor . I went back to the DOT Dr. with a note from my doctor saying I can return to work with no instructions I gave the paperwork to the receptionist, she took it back to the doctor and when she returned she told me I did not pass with no explanation, The physician would not even come out and explain it to me. Could you please tell me where I could find out what the actual regulations For disqualification for a DOT medical certificate . Thank you sir
@Derek
You are a class B driver and do not fall under FMCSA class A regulations.
So, check with you local drivers license department to find out what regulations or restrictions may apply to you. You’re being examined as a class A driver which is not appropriate for a class B driver.
Can I get my Cdl with rheumatoid arthritis
@Chris
Can you perform the duties, as described by the FMCSA, safely and effectively? If so, then you might pass the medical certification examination. Also, a lot is determined by the type and class driver that you wish to become as a cdl driver. Check with your local drivers license department to verify your requirements.
Hi, I am a class C cdl driver, I have a cataract they will be taking out but have also been told that I have optic nerve damage is that a disability, I was told by the nero doctor my vision in my right eye last month was 20/400
@Thomas
If your present vision is at 20/400 and uncorrectable, then you would fail a federal DOT medical certification examination.
Since you fall under your states drivers license rules and regulations, as a class C driver, we suggest that you check with the state regarding any visual impairment waivers or releases. The cataract, once removed, may not impair your vision too much. All depends on how much, if any, nerve damage has occurred. Good luck
A driver fails his medical exam. He has a current medical card that is valid for 3 more weeks. Is it legal to drive under current medical, registered with DOL, after failing a renewal?
@George
No. The failed exam is reported to FMCSA.
can you wear a knee brace in a commercial vehicle
@Vernon
As long as it does not interfere with your ability to perform the duties of a cmv operator and poses no safety issues. There will be questions about the reasoning behind the use of the brace, so be prepared with supporting documentation and a medical release form from your doctor explaining why you should use the brace and how long he expects you to be using it.
Can chrons diseas disqualify you if you are a class A deivwr operating in all 48 states
@Jonathan
Only if it causes you to be a potential safety risk. If you can continue to perform the duties of a cmv operator and are not a safety risk you should be alright, if everything else is within normal limits. Get a medical release form from your doctor explaining your condition and medications, that helps the CME make a well informed decision in your case.
I have worked with a Class B license driving a bus for 4 years. I went today to get my DOT card renewed and the doctor said I did not have full range of motion when I turn by head to the left though I feel I do . She said she thought I had spasmodic torticollis and sent me to my family doctor and she said I was a little tight on the left side. She wants me to see a physical therapist to see if there is a test I can take to determine it. Is there anything in a DOT physical that says this is a criteria and also if I cannot work while getting better what are my options. Does the company put you on sick leave or are you considered unemployed.
@Debbie
There are range of motion guidelines with the FMCSA, but you are a class B driver, driving a school bus. You fall under the states variances and not FMCSA. As far as your other question, you need to check with the company policy for a situation such as yours.
In 2007 I slipped on ice and ruptured my right quadriceps tendon, after the repair surgery failed, I had surgery again 8 months later. I finally was cleared MMI, with restrictions of no crawling no kneeling. I fell last year and ruptured my left quadriceps tendon, and completely tore my right rotator cuff. After surgeries, and therapy I am at MMI with major work restrictions, no climbing, no lifting more than 10lbs. Can I pass a physical?
@Robert
For a class A interstate driver, no.
You might want to look into intra-state as there are state variances to work with and not the FMCSA regulations.
@Robert
For a class A interstate driver via FMCSA, no.
If you are not going for interstate and will be running locally, then maybe, based on your job description.
Does wearing a leg brae for drop foot disqualify me from driving a school van/bus in NJ?
@George
You will need to check with your local drivers license department to determine the best answer. This is a state related question not FMCSA.
I had arthroscopic knee surgery. I had a torn meniscus. After 4 days of rest, I could get around pretty good. The doctor cleared me for unrestricted work. We drive automatic trucks. Is there an automatic time off period for this procedure? I am a class A license holder.
@Dan
You will have to have a new DOT medical examination before you can return to driving. As long as you can perform the duties of a CMV operator, without posing a safety issue, you should be fine. Take your medical release form from your doctor with you, it will help the CME in his final decision making process.
I have 2 lumps on the left side of my abdomen, and one one each thigh that I’ve had for over 15 years. A doctor checked them out years ago during a physical and said they were just fatty tissue. They don’t hurt unless I press directly on them, and they have never been an issue.
My question is, will this disqualify me if I don’t have a doctor’s release? I know they need to press on my abdomen for the physical, but as long as they don’t interfere with my duties, will I be ok?
@Robert
You should be fine. If it is questioned simply explain yourself to the examiner. He may request a further medical examintion for a confirmation that they are simply fatty cyst. The CMEs are not supposed to do diagnostics, but to request further documentation from your primary doctor.
I have a B with tanker endorsement and before my injury I was driving interstate. I’ve had 3 surgeries on my right arm within the last 5 months. I was just released to work but I’m not allowed to use my right arm at all. I had part of my forearm muscle removed, tendons in my elbow repaired, and nerves repaired in my elbow and hand. My index and middle finger are probably going to be permanently numb. My question is will I be able to renew my med card before it expires in May? Any help would be greatly appreciated. Thanks.
@Chris
If you plan to go back to interstate driving, then the examiner will want you to have a skills performance evaluation done before he will sign off on you. Another option may be to go intra-state only. That way you are home everyday and you will fall under the states variances and not FMCSA. Good luck.
I’m a right above the knee amputee and went for a rode reevaluation in 2003 and the state trooper let me keep my my cdl b license and now my doctor says I need a spe I’m intra-state on my self evaluation and I’m having a hard time finding a doctor that does spe they don’t know what I’m talking about they say they have never heard of this I’m located in Massachusetts
@Rob
You are a class B driver and fall under the states variances, unfortunately your examiners are trying to evaluate you as a class A interstate driver.
We do not believe that as an intra-state, class B driver, that you need a SPE exam. You need to explain to your DOT examiner that you are not being held to class A interstate driver standards. You are in your states rules and regs. Good luck
I have arthritis in my left foot and the doctors would like to fuse the two bones, however, I am worried this will disqualify me on my next DOT physical since I won’t be able to squat. I have been driving 15 years and I don’t want to lose my career.
@Edward
Once the fusion is done and you are fully healed you should be able to modify your movements thus allowing you to continue to perform your normal work duties. Squatting is only done to perform your normal work duties, but if you have a modified activity that still allows you to get the job done, then you should be fine.
I had an IUD pacemaker put in last month. Am I restricted from driving a commercial truck. I have a class b
@Lance
As a class B driver with your situation, you will fall under the states variances and not FMCSA. So check with your local drivers license department to confirm your situation.
Also when you go for your DOT medical examination make sure you explain your driver type and have a medical release form from your doctor explaining your condition and a working prognosis, if possible. All the information is for the CME to overview and make his final decision. Since you are not an OTR driver, then make sure that the CME understands your driver type. Good luck
I need total elbow replacement..can I still drive a semi..I hear the weight restrictions are 10lbs…total mobile but very limited weight bearing
@Donna
You should not have a major issue, if you can perform your normal work duties as a commercial motor vehicle operator. Make sure you have a medical release form from your doctor too.
I had lower lumbar decompression surgery and the doctor has approved to go back to work. I have am class A and pull doubles out of state. All healed up but my left toes and foot is still numb will I be ok for dot physical.
@Kevin
As long as you have a medical release form from your doctor explaining your condition and you can perform the duties of a cmv operator safely, then you should do alright, if all else is good.
Hi I’m still in highschool and I was wandering if your can be a truck driver and have metal rods in your back from scoliosis or is that a disqualification
@Stephen
Before you get started, you should look at the job description for a driver and make sure that you can perform the duties of a cmv driver. If you can do the normal duties, then there is no reason you should have any issues with the FMCSA. Rods are not a disqualification issue by themselves.
Hi I just had my dot physical I’m 35 yrs old and they gave me a three month card cuz they recommend that I take a sleep study is there any way out of taking the study cuz I feel that there is no need for me to take it at this time
@Steve
Yes, go get a second opinion somewhere else. You may be being taken for a ride, but confirm elsewhere.
Hello, I recently had a DOT physical by my company’s industrial clinic and the determined I was not qualified due to my BMI. and high blood pressure. They want me to do a sleep apnea test and will not qualify me until this is done. I haven’t seen a personal doctor for several years and my knew doctor does not have enough history with me to sign off that it’s okay for me to drive until further tests are done. I have been out of work for a week now on safert hold.
Since this is the company’s medical clinic that disqualified me for work, can I file for workers compensation? I’m in California. Thanks.
I had back surgery a couple years ago, and have noticed that my leg is having trouble moving like it used to before surgery. Will that disqualify me from getting my DOT card?
@John
It all depends on whether you can still perform the duties of a commercial motor vehicle operator. If the limitations effect the safe operation of a CMV, then it will be an issue. If you can still work around the situation and perform your duties, then it’s not an issue. Good Luck.
can i refuse hernia exam and pass my dot physical?
@Myranda
No, but you can insist on a same sex examiner.
About three months ago I was diagnosed with rheumatoid arthritis and have been off work since I drive for a bottling company delivering cases of pop and only reason I’m off was because of the physical demands NOT the driving my med card is up in july 2017 I have talked with employer about doing other jobs besides delivery and they said they will work with me! right after I was diagnosed from my family doctor I went to rheumatologist and I am on sulfasalazine and methotrexate and prednisone they seem to be working anyway?My concern is being able to requalify and I plan on getting the release form from rheumatologist before I go I know it will be the cme final decision if I am not driving! I just want to keep my cdl A
Andy, I kind of in the same boat however my card expires in 3 weeks, I live in Florida so I will let you know what happens to me. Florida DMV told me I could down grade to a class E for a small fee. Them when I get My release to work, and pass a DOT Physical I can go back to DMV and again for a small fee get my CDL A back with all endorsements and not have to retest, as long as it is with in a year from the down grade.. I’ll let you know if that is indeed the truth in a few weeks.
Pete
Thanks peter, Good Luck!
Well with my issue, (dermatomyositis) the DOT Medical officer told me it is disqualifying with an exemption, So I will need my Dr to sign off on disease and my medication list as well as being able to shoe MRO that i’m in good shape and my lower extremity muscles are able to support my body and complete the job description of a fuel hauler.. Right now that is not the case, so I did not pass which I fully expected, Dr said wait until you are sure and show definite signs of remission before attempting DOT physical again. So with that the state of Florida will allowed me to downgrade my CDL and I am able to reinstate it and will not have to retest at any time before it expires for a small fee. Good Luck to you..
This comment is for the state of Florida only. Speak with someone at your local office where you renew your driver license, you may find there is a document you can sign which allows you to keep your class A, even if you have no current medical card and your unemployed, but this is serious and not to be used for fraudulent work! Driving class A vehicle’s carry some serious responsibilities, please have yourself medically healthy and fit before jumping into a truck just because you want to.
@Andy
With your doctors release form in hand and a brief explanation regarding the uses of the medications that you have been prescribed, you should not have any major issues. As long as you have supporting documentation and explain to the examiner the type of driving that you do, you should be good to go.
Thanks for thoughts on situation my main concern is being disqualified for a disease that is such a red flag and with the hopes of having the proper paperwork that the cme will have the right call and not be a automatic rejection! All I can do is hope….
I was born with Spina Bifida, I had a successful surgery when I was born . I have fully range of motion and no pain. I’m 6ft 1″ 280lbs. But I do have a noticeable lipoma on my lower back, noticeable when naked. Would this DQ me?
@James
No, you should not have any issues with this condition. It does not effect your ability to operate a CMV safely.
How long must I wait to return to driving a bus after hip replacement?
@Pamela
Once released from your doctors care and a return to work statement. Then you will need a new DOT examination to make sure you are medically fit for duty. That’s it. Good Luck
Is it possible to get your cdl or approved by SPE if you were to only have a right arm?
@Danny
It is possible. You will need a valid medical examination and then go through the FMCSA process to attain the needed physical limitations waiver. With those two things, you should be good to go, as long as all else is OK.
I suffered an accidental gun shot wound to my left shoulder when I was 18 resulting in a fused arm to shoulder connection. I’m 44 now, the fused part limits me from being able to extend my arm above my head, but not side to side or backwards. I can drive just fine. My question is, would this fail me on a physical or result in me having to participate in the limb impairment program? I’m a lifelong pipewelder but due to the state of the economy welding jobs are being sent overseas so I’m thinking of a career change
I’m trying to get my cdl class b in California I have back issues that require me to get injections and possibly surgery to repair damage my left leg has like 50 less strength then my right and I have very high blood pressure will this DQ me from licence?
@Curt
It is going to be tough for you to pass the DOT examination. You have pain issues, medication and possible surgery on the horizon and loss of strength in one leg. Based on the DOT/FMCSA medical certification examination, you probably won’t pass at this time. Get your health issues taken care of and fully healed and you could try again later.
I have a brachial plexus injury I have half use of my left arm. I am wanting to fufill my dream of getting a class A license is this going to stop me from getting it?
@Justin
All depends on the extent of the limitation. First read the job description for an OTR / interstate driver (FMCSA-website) and see if you feel like you can pass the DOT medical certification examination. Then it will depend on your abilities and the CME to make the final decision. Good Luck.
I had a downhill skiing accident on December 26, 2015, four surgeries and 2 staff infections later, mid December 2016 my HR team will not clear me to get back to work…I’m a wine & spirit salesperson. Doctors have given them vague information regarding lifting weights 25-30 lbs. for 2-3 months, even though lifting 50-60 pounds is not an issue for me. I have a drop foot from medial nerve damage, but can walk wearing an orthotic when out for long distances or without the orthotic around the house. HR stating insurance liabilities for driving with this condition, even though we drive our own vehicles on the job. I have driven myself to the hospital twice now, which is 2 1/2 hours away since July 2016 and drive all around our valley without any incidents. My patient coordinator at the hospital recently suggested I may need to get an Independent Medical Exam or a Functional Capacity Exam. I contacted my local DOT, no clear answer and the Hospital staff at Occupational Health says they only deal with L&I (work related) cases. My question is: where can I go to get tested to validate whether I can drive my personal vehicle so I can get back to work and/or possibly validate my CDL B license so I might have the opportunity to drive commercial vehicles such as the local Link buses or school buses as alternative job possibilities in the future. Thank you very much for the site you’ve created and the information you provide to so many that are baffled by our medical professionals. Even though the staff that treated my tibia/plateau spiral fracture did a fabulous job of saving my leg and getting me healed, they’ve done very little to address the nerve damage in my lower leg and foot. At my last appt. in November this year, I got the “doc in a box” examination for BTW (back to work) and subsequent paperwork, my HR person called and asked what the heck is this info, she could not even comprehend the minimalized report or tell who even signed it! MAKE SURE WHEN YOU SET YOUR APPT. THAT THE DOCTOR YOU WANT TO SEE IS AVAILABLE AND THEN PREPARE A LIST TO ASK ALL PERTINENT QUESTIONS FOR YOUR SITUATION, DO RESEARCH ONLINE.
@CJ
Question – Do you hold a valid class A or B license?
With your present situation you will have some difficulty passing a DOT medical certification examination.
If you are a CDL holder you need to be fully recovered to even be seen to do the examination and you will need documentation to support your CME’S findings in the examination.
If you only drive on a standard drivers license then the best answer will come from your local drivers license department within your state.
I have recently been put on disability for medical reasons ,but I do not wish to lose my CDL’s ….
My question is can you be on disability, pass a CDL physical so you can keep your CDL and not lose your disability ????
@Tina
You want to check with your local drivers license department.
If you are on disability then you are not fit to pass the DOT medical examination. Each state has a process in which you should be able to keep your cdl until you can pass the DOT examination once you are released to return to work. So check with your DLD to find out what those steps are.
I had a seismoid ectomy. The only last effect is intermittent mild pain that is relieved with otc meds like Advil. I currently drive a RR5000 which is a stand up fork lift for 12-16hour shifts 3 days at a time without issue. Will I still qualify for a medical card?
@Lisa
If you can pass all else, you should not have any problems.
I have a CDL license in IL but I got a drop foot problem from an accident I was in I have a AFO flexible foot brace to wear. I have been getting my foot movement back slowly an now my doctor wants me to practice driving my pickup truck around to see how it works. If this works to drive my pickup truck I think he will let my go back to work an see how I do driving my semi. I have been trying to find out if I can drive a semi with my brace on til my foot heals up. Is it against the law to drive or would I have to have a doctors note to be able to drive with my brace. Thank u for any intel on this issue of mine.
@John
You will want to have a medical release form from your doctor explaining your situation and capabilities. That will be a huge help to the CME when he is doing the final evaluation for your CDL medical card. It all boils down to safety issues and your capabilities.
I also have a drop foot issue though with medial nerve damage, I also have an AFO flexible foot brace and progress is slow but steady. Keep doing your PT & exercises. I have a CDL B license which is cleared, but drive my own vehicle for work…but am still trying to get cleared by HR to return for work. I’ve adjusted my driving by moving my knee and leg to push on the gas pedal since I have limited movement in my foot/ankle…you can do it!
Hi so i just want to tell you my story right now, I may have a chronic ankle condition that causes my ankle to hurt and be unstable. The rest of my body is fine lol. i’m looking at my options in case i can not return to my current job. I was just a little concerned as I may need to do some heavy lifting, maybe i could use a dolly cart to push stuff. I am on restriction not to lift over 20-25 pounds.
If i am stuck with these restrictions can i still do this ???
Just exploring my options at this point as i have not been able to return to my job since September….its been a battle with this ankle all year but if i can drive a truck I may just do this if my ankle isn’t going to get better.
Thanks for reading 🙂
@Lauren
It does not appear that you could qualify as ‘fit for duty’ to operate a commercial motor vehicle, as an over-the-road driver.
You could explore the likelihood of doing more regional work, but you will need to deal with a company that understands your physical condition and is willing to allow you to work with those restrictions.
I have partial drop foot I can push my ankle and foot just fine with no problem I can stand on my tippy-toes, My problem is with lifting my foot up the nerves will not allow me to lift my ankle up. I can lift my leg with no problem I can drive with no problem I have no problem pushing the gas or lifting my foot up to the break or back to the gas. Do you think this will stop me from being able to get my CDL or passing the DOT physical?
@John
As long as everything else is in good operating order, you should be OK. The CME is looking for issues that would be considered a safety hazard. Also, have your doctor sign a medical release form for you explaining your situation and abilities, that will be a huge help.
I was told since i have a splint on my right hand that disqualifies me to drive under my cdl license….my question is this true?
@Charles
If the splint limits your ability to operate a CMV safely, then you are disqualified until you can return to work without limitation and can be found, by a CME, to be medically fit for duty.
I have congenital heart disease that later resulted in VSD repair and two other surgeries for aortic valve replacement. I have been able to pass my DOT physical in the past. However due to a episode of overexertion I was sent to be checked out by my cardiologist. They found a abnormal heart pattern in a stress test (ST depression during exercise*No Arrhthyias noted*)and was then proceeded with a nuclear test which came with clean good results. Complications My Cardiologist listed Tachycardia, dyspnea, and presyncope. Prior to nuclear test results coming with clean bill of health results. My question. Can I pass a DOT physical with a letter from Cardiologist stating that I need to refrain from sustained heavy lifting, or resistance that requires bearing down and holding breath. (Valsalva)? I’ve seen Truck drivers with handicap stickers in windows before so I presume I can? Can I get some answers please?
@Christopher
A medical release form is going to be a must in your situation. Have your doctor explain your condition and restriction, if any. A lot will depend on the class and type of driving that you do. With all the information in hand before you go for your new DOT examination, that will be a huge help to the examining CME. He/she needs as much information as possible to make his/her best decision.
I am currently taking dialysis would I be able to get a dot license to drive trucks?
@Ken
You may qualify to drive within the state only, but not as an interstate driver.
Check with your local drivers license department and ask them for further information.
I had both knees replaced di I need to get recertified on my dot physical
@Shawn
Yes.
My teammate has to have a skin graft surgery on the top of his foot to help a place heal he can drive an automatic which we have will he be allowed to do this
@Katrenia
If you follow FMCSA guidelines, the moment the driver goes into surgery and is out from behind the wheel, they need to have a new medical certificate to demonstrate fit for duty status. If they can then drive without being a safety issue, you should be good to go.
In the state of AZ I have a class a with tanker, I need to have a fusion sergery will that make me have to give up my CDL?
@Chris
No, once you are fully healed and ready to return to work you will need a new medical certificate to determine fit for duty status. That should be done with a doctors medical release to return to work and any limitations listed on the release form.
I have a Class A cdl. I live in New York. I had to have surgery on my abdomen to remove a bunch of scar tissue that was there. With that scar tissue it was difficult for me to eat without any type of pain. My doctor has cleared me to return to work. My company said that I must get another DOT cert before I can return back to work. My current cert is good for another 1 1/2 years. Company stated this is DOT regulation for any and all surgeries. Please let me know. Thank you.
@Rebecca
Your company is correct. Any issue that takes you away from behind the wheel requires a new medical cert before you may drive again.
One of your drivers is going to have surgery on his shoulder, because of an on the job injury. His medical cert is going to expire when he is off for surgery. Right now he is certified category 1 – Non-exempt. Does he need to downgrade his cdl in the meantime since he will not be able to take a new physical until he is healed? If so what category should he be in 2 or 4? He has a minnesota cdl.
@Onica
Each state treats this process differently so your local drivers license department are the only people who can give you the specifics here to help you out.
I had thoracic outlet syndrome in both shoulders, I do not have full strength in either hand. I drive aa tandem grain truck in the state of Illinois . I am an employee on the farm am I suppose to have a CDL Medical Card. Im going to the river where they also process feed.
@Chris
Check with you local drivers license department to see if you need a medical card or not.
I injured my Achilles tendon at work and the company doctor placed me on restrictions that did not specifically say I can’t drive, but I can not load and unload my truck. Because the company does not have light duty for just the driving I went out of work. I am healed now and the treating physician provided a full duty release. My question is if I need or should have the FMCSA Medical Exam – Fitness for Duty before driving?
@Mike
Yes, once off duty you must demonstrate a medical fitness for duty before you can go back to work. That means a new medical exam.
I’m a CDL-A in the state of MA and I do go out of state some times when required. I fractured my ankle on August 7, 2016 and my DOT card expires on September 26, 2016. I won’t be able to renew my DOT card because I won’t be cleared to return to work full duty until late October or even mid November. Is there any sort of form or waiver to submit to RMV for a self certification? I don’t want my license being down graded and risk losing my job!! I just don’t know what to do.
@Dan
Each state treats this process differently.
You need to contact you local drivers license department and let them know your circumstances. They should tell you what they can do for you in the meantime, until you are fully healed and able to qualify again.
I would like to know how you made out? I fractured my left ankle on Nov.16th.I am still out of work and my dot card expires in Feb.2017.I live in Md and haven’t been able to find an answer.
Thanks!
Iam in california going trew the same thing☹️I mine expires February and maybe wont be good till after march,would i loose my license?Iam so scared i dont even what to contact dmv ,but time is getting close!
I went in for a DOT physical, and I mentioned on the application that I recently used medical marijuana and my application was rejected.
Do I need to take a drug screen or test when applying again?
@CM
Drug screens are done upon the company request. You will need to pee clean before any company is going to hire you.
Can you still drive a school bus in California if you have been diagnosed with scoliosis?
@Jacquie
As long as the condition does not interfere with the safe operation of the bus. But confirm this with your local drivers license department.
I am a class A OTR driver with a prior spinal fusion, c-6 and c-7. I may need a revision of the previous surgery. If so, will I be required to sit out a specific amount of time or do I just need my surgeon’s clearance to get recertification and return to work?
@Kelly
Fully healed and a note from the surgeon is all you need before you redo your DOT medical certificate.
I have a driver who has been out on workers comp for a year. He had a neck injury. He went for his DOT and the ME told him he has to have a Functional Capacity exam before she will consider doing his DOT as he has been out for a year. The workers comp doctor has already signed him off as fit for work, should this FCE have been done first? Now he can’t drive but he isn’t receiving workers comp either. Would he have to get the FCE done himself?
Thanks for your advice.
@Franny
Have him go somewhere else for a second opinion.
If he can perform the duties of a CMV operator, then he’ll pass the examination. If he has normal mobility and is pain free, then the examiner should be able to determine medical fitness for duty.
Hello,
I live in NY state, and have had my cdl B for about 10 years now, and I drive a school bus. Two years ago, I was diagnosed with diabetes II, insulin dependant. After that, they were giving me only 6 month cards, with physicians certifications. I just went in today and the nurse practitioner informed me that they no longer give medical cards to diabetics, and she refused to administer the physical, regardless of my cardiologists certification that he feels I am fit for duty. This is the ONLY company that the school goes through for their DOT needs. Is this true or is the nurse wrong??
Also, I have AFib with an implanted cardiac monitor in my chest, and I’m on antiarrhythmic meds for this condition. She told me that she believes that having any type of cardiac implanted device automatically disqualifies me from operating a CMV.
Please help.. if this is true I’m going to lose my job!
@Erek
Nurse is incorrect.
You fall under state variances and should not be evaluated as an OTR driver. So check with your local drivers license department and get the fact straight before you take that information back to the examiner. Make sure you have medical releases from all of your doctors before you return to the CME for an examination.
I’m in trucking driving school one week from beginning road training. My backs has been starting to hurt from the work I’m currently during during the week (I go to class on weekends). If I go on workers comp will I still be allowed to complete the driving school?
@James
You need to check with the driving school. Out on workers comp implies that you are presently unable to perform the duties of a commercial driver? Not medically fit for duty.
What impact does a lumbar spinal fusion have on certifying a driver? Where can I get more information?
@peter
Best information for DOT regs is the FMCSA.
As far as impact due to spinal fusion, you are looking for inabilities to perform the duties of a CMV operator. Can they do their job safely and can they continue to operate a CMV safely. Are there any chances of the driver becoming incapacitated due to the fusion.
If all is stable and you have a medical release form from the surgeon, then just follow the guidelines.
Will token clavicle disqualify me I have full range of motion with no pain? It’s a non CDL dot physical?
@Josh
Full range of motion with no pain, you should be fine.
I am a Class A Driver in Texas who recently applied for several jobs which one job called and sent me to get a Medical Exam June 22 which The doctor failed me due to high glucose. I’ve received two other offers and want to know if it is ok for me to go to another doctor for a new physical?
@Greg
If your sugar is under control and you have no glucose spill over, then you can go to whom ever you like.
Hi,
If a DOT driver has a missing a limb and need a SPE, should he or she receive their DOT medical certificate first in order to get/apply for the SPE waiver? OR Do they have to have the SPE before getting their medical certificate?
Thank you!
@beverly
Do the physical and mark the bubble stating that they need the SPE to operate a cmv. After that it is up to the driver to get the SPE done.
I have 2 titanium hips. I can play tennis, ride a horse, mow my lawn.
Can I get a CDL?
@Mark
As long as you can perform the duties of a CMV operator, then you would pass. The new hips are not a major question unless they have created impairments or limitations.
A truck beats you to death. Although not a disqualified,I don’t recommend you drive a rough riding truck.
What is the minimum grip strength required to pass a dot physical?
@Jeff
The ability to perform the duties of a commercial motor vehicle operator. No set grip strength measurements on the test, but the ability to do the job without question.
is there any restriction as to being denied your medical card for OTR if you have Fibromyalgia? I have been on a variety of treatments/injections/meds with little relief. Im currently on full disability but am wanting to earn my cdls. Specifically, I live in nerve pain, and am slow walking but capeable of doing the job required. I have rebuilt myself to cope and succeed with it for over 10 years.
Any chance with a medical form from a Doc that this dream may become a reality? Will employers hire me as disabled/handicap?
@M
You will want to check into the job description of a CDL driver. Make sure that you can perform the duties of a commercial motor vehicle operator.
Pain meds will be questioned and can be answered by the medical release form.
Physical ability has to be evaluated by the examiner.
So take plenty of information and your medical release forms with you.
You might also consider an intra-state only CDL. There are some variances within the state that may help you achieve your goals.
I am attempting to change careers, getting my Illinois CDL-A. Last year I was pff work on FLMA due to bulging and herniated discs (C4-5, C5-6 respectively). I currently have intermittent medical leave through my employer to cover my ansence during flare ups. My range of motion seems fine, but my current job as a casino dealer aggravates my condition due to tye repetitive movements. Will this be a problem in passing my Illinois DOT physical?
@Kevin
If you are going for a class A interstate license you will not be medically fit for duty as an interstate class A driver. Every time you would have a flare up you would need to have a new medical certificate to determine medical fitness for duty.
Now if you are going to drive intra-state only, you fall into your states variances. Contact your local drivers license department about state variances.
Kevin, ive been an otr driver since 1992, i can assure you if you start driving either otr or intrastate you will compromise and worsen the issue with c4-6. Three years ago i was suppose to have an acdf c4-c6. Now today i have to have my entire neck fused, yes c17, because of the constant jarring in the truck. I would tell you its not worth it bro.
I have had surgery on both my feet and have degenerative arthritis in both feet but my employer still wants me to drive even though I have a medical note. They want me to still take a dot physical even though I have a medical note. Should I take my medical notes with me?
@Lisa
Take the medical notes with you and show them to the CME up front, before you take the examination. If you are not going to pass you may as well know it up front.
I toke the medical notes and now they want me to take a range if motion test which I can’t find anyone to do.
@Lisa
Give us more information. We do not understand the full question.
I have a friend that I’m concerned about, he just jokes about it when asked. He is a diabetic with a Class A CDL, he told me his doc wanted him on insulin but he said he would loose his cdl so he’s taking the most expensive pills instead and he’s had laser eye surgery atleast 10 times this year to stop his eyes from internally bleeding(diabetic retinopathy) and he has peripheral neuropathy and I’m pretty sure the booze doesn’t help, Is it safe for him to be on the road?
NO
I work for RTA in cleveland ohio, 3 days ago on tuesday my company asked me to see a dot doctor to be checked, I was not off work,I did not complain of pain in fact I drove my morning shift and was about to do my afternoon shift when the company ordered me to see a doctor at eastside occupational center in cleveland ohio, he reviewed my chiropractors notes and said I willl loose my cdl endorsement,I want to know what I can do at this point instead of being on disability which this doctor said I can go on, I prefer to keep my cdl and continue my driving job as a bus driver.
@Alan
You are an intra-state driver and are not interstate.
Someone needs to understand that difference and rank you accordingly. Now if you unsafe due to injury or pain that’s one thing, but if are doing your job without any safety issues, then you should be able to drive.
So the first question would be, why did work send you for a DOT physical?
Second question would be what class driver are you and do you need endorsements to do your job?
My husband is non CDL holding but his company still requires a medical card. He injured his back at work in Feb and has been on light duty… driving only. Nothing else. His restrictions are no lifting over 20 lbs and push pull up to 40lbs. He has a herniated disc, and does is not on any meds for the injury. Can he get re-certified? or some sort of limited pass?
@Tracy
Medical certificates are to determine medical fitness for duty as a driver. Your husband should explain to the examiner that he needs a medical card for a non cdl holder. Then based on the finding of the examiner he will make the final decision.
My husband fell 2 wks ago cut above his elbow and got mersa in it. He went for company DOT and doctor said if he signed in they would fell him. We went back for wound check and it healing but that the elbow has bursitis (inflammation) doctor wrote a note saying he can return to work and that he is able to drive. Will they fell him on his test if he goes in for the dot physical?
@Alicia
If he cannot perform the duties of a commercial motor vehicle operator, then he will fail. Driving is only one part of his duties, so he must be able to pass as medically fit to operate a CMV with all of its duties and requirements.
I have a spinal cord stimulator implant l4/l5 my doc gave me release filled out all paper work I went for my dot physical and the doc said she not sure if she can pass me with the implant I pass all of the other test can she fail me
@Peter
The CME just needs more information from your neurologist and surgeon. Get a medical release form from both of them and make sure that you can perform the duties of a CMV operator.
I had my left kneecap shattered and had surgery. I am fully recovered (apprx 2 years) but cannot bend it fully. I can still walk normal and move around, but I cannot squat all the way down with both knees bent. I can still bend it somewhat but not all the way. Wearing a knee brace also helos it alot. I haven’t had any issues with it since. I wanted to know if I can still be qualified to pass a DOT physical with conditions if need be?
@Crysostomos
If you can manage the basic job description of a CDL driver, then you should be fine. As a class A driver you will need to perform some duties that may require you to kneel to do basic inspections of gear. Even if you use a brace to do so, you should be OK.
My CDL physical needs to be renewed and I am currently wearing a carbon fiber knee brace as I may need knee replacement surgery. Will this fail me on my CDL physical? Thank you.
@Fred
If you are presently unable to perform the duties of a medically fit for duty driver, then you will not pass the DOT examination. And if you are possibly going to have knee surgery in the near future, then you will want to talk with your local drivers license department and see what they recommend for you to do to keep your cdl while you are out with the knee replacement and recovery.
sorry i corrected this its my left hand an thumb in cast
hi i am wondering if i have my left hand in a cast from where i broke my thumb an i can not grip anything with it an i drive a lowboy with a peterbilt 379 can i legally drive the truck if doctor ok me to return to work.. we are from Pa
@Richard
As a class A driver you do not fit the requirements, via FMCSA, as a medically fit for duty driver.
Your medical card was invalidated at the time of the accident and you need to have a new medical certificate, once the doctor releases you to return to work with out any restrictions.
I have my left leg amputated below the knee and use a prosthesis to walk. I get around fine and most people don’t even realize I have one unless I wear shorts or tell them. Anyway, I have missed out on a few decent paying driving jobs because when I was sent to have my drug test and DOT physical, the medical examiner said I would need a SPE certificate because of my leg. This job I was applying for wasn’t even one which required a CDL. The vehicle I would be driving was a typical Ford delivery van that anyone with a drivers license can operate but because of bureaucratic BS, and a DOT number on the van, I need an SPE certificate.
The problem is that I have to go have this evaluation done and none of the specialists offices I have contacted even know what I am talking about when I mention the SPE and the packet of paperwork from the drivers license office. I was told it takes 6 weeks to process the paperwork once it’s mailed to the Texas DPS in Austin by Concentra, the clinic that does the drug test and physical. Employers aren’t going to wait that long plus the time it takes to get an appointment and see the specialist. They are going to move on to the next candidate. I was working as a driver for another company which didn’t have a “magic DOT number” on their trucks before this but left due a cut on work hours from 40 to 30 (thanks Obamacare) and dismal pay.
My question: Is there a way to expedite this process or is there some kind of waiver I can get when a driving job doesn’t require a CDL?
@Nick
It seem like someone is evaluating you as if you are going to drive interstate and big rig.
You need to have a CME evaluate you for an intra-state job and a lesser class license other than a class A. Your state should have a policy and guidelines that a local CME can use without the need for the SPE. You will have to explain what you are going to be driving and out to what distance. After that you should be OK.
I’ve had an Inguinal hernia for about 27 years . Hernia belt controls it except for squatting . Will this disqualify me on the physical exam ?
@Alan
If it does not restrict you from performing the duties of a commercial motor vehicle operator, you should do fine.
can you pass a mdot phsycal and be quilified to drive a commercial vehicle while taking lyrica?
@James
It is going to cause a lot of red flags, so be prepared to answer questions about it needs and usage. Get a medical release form from your prescribing doctor before going for you medical examination. The MD will need to explain why he has prescribed this medication, how long you have been on it and what conditions you are being treated for.
I have class a CDL I have injured my left elbo. They put cast on my arm.. Dr says I can still drive, is it legal for me to do so if I can perform my job? No medication and I have the note from doc. Can I just drive or is there another step
@Bob
An injury that takes you out of the truck requires new medical examination/certificate. You won’t pass the DOT medical examination until you are fully healed and have a full medical release from your doctor. Since your doctor does not deal with the FMCSA and does not have to contend with the federal guidelines, he does not know this.
So get healed and get a medical release form from your doctor. Then you will be good to go.
I have not missed any work due to the injury. I can still do my job completely. I’m just concerned about going through weigh station or something like that and someone saying something.
Being on long term prednisone is ground for disqualification
I had an accident in 2014 I had a spinal fusion, also had a broken clavical the doctors gave me a 13% disability rating with a permanent 50 lbs weight limit for the rest of my life..1. Would I pass a dot physical with that restriction 2. If I get out of pain management would I qualify
@Scott
Given todays driver requirements, you may do OK with the weight restrictions. You want to bring a doctors release form with you the time of the examination. Out of pain management and off all meds for awhile before you go for the DOT medical certificate. There will be questions about your medication usage, so be prepared and if you can get a medical release form from your PM doctor even better.
My fiance was in an auto accident 3+ years ago that rendered his left arm partially useless. He is able to lift the arm and move it around however the lower portion of his arm has very little muscle left and his hand is slightly contracted with limited movement of his fingers on that hand. He got his regular license back with documentation from his doctor that he is fully able to drive. He had his CDL prior to his accident and they were reinstated as well. He has applied for a job driving again and while seeing the DOT doctor that doctor asked if he could turn his left arm palm up. He told him “NO” then asked why. The doctor stated he wanted to make sure his arm was strong enough to drive. He told the doctor he was already medically cleared by his doctor that he could as well as he has the ability to lift 70-80 pounds with no problem. The DOT doctor now wants him to go out on a road test with a FEDERAL DOT Representative just cause he can’t turn his arm palm side up. Is this legal and if so why is he requesting this and whom would administer this driving test? Please help if you can. We reside in PA.
@Gina
The CME is forced to follow the FMCSA guidelines and what he is requesting is FMCSA. Your doctor does not do DOT examinations and is not aware of their requirements. Your fiancé will need to have a skills performance evaluation to go back to cdl interstate driving. Your doctor cleared him for intra-state only cdl and a regular drivers license.
Hi, I got hurt at work and had L4-L5 spinal Fusion and am still off duty and recovering from the surgery.
My DOT physical expires in 3 weeks and i dont want to lose my Class A CDL liscense.
I dont believe they will pass me in this condition as i still can’t lift over 8 lbs, bend over, or twist.
Do they have an extension for something like this ???
@Randal
You need to get further information from your local drivers license department. They should have some policy in place for situations just like yours.
You will not pass a DOT physical, so you need the information from the DLD so they don’t downgrade your CDL.
Change your over the road status to local driver in the state you live not required to have DOT physical until you get back on your feet
Does not being able to stand on your tip toes disqualify you frim a cdl renewal?
Does a heart catherization override a stress test to retain your medical card?
@ Donnie
Not that I am aware of. One test gives results and a report. Not the other. A medical release form from the cardiologist will be very helpful though. If the treatment resolves the problem, then the release from the doctor is going to be required.
Applied for another CDL job. Previous job was on workers compensation part of time. When new employer calls for verification company states I was employed to the date I went on medical leave. While on workers comp aren’t I still considered employed by the company? And also can they come out and state I took a leave of absence?
@Gregory
We answer medical questions concerning qualifying for DOT medical certification.
Sorry, can’t answer company policy / OSHA type questions.
I recently had acl surgery on my left knee. My hope is to get my cdl in 6 months. Will the knee surgery disqualify me from getting my class- a?
@ Todd
If you have good recovery and no limit ions, then you will be fine.
I have a CDL class A. I had a handicap placard and ID card issued to me a while back as a result from ACL knee reconstruction. I’ve since had to surrender my handicap placard and ID because I hold a CDL. I am in no way hindered by this when it comes to driving, double clutching, getting in or out of truck. I just can’t walk long distances outside the truck. Why can’t I have a CDL and a handicap ID at the same time? It has no affect on my driving ability whatsoever. Would I seriously be disqualified from the Mvc medical unit over this?
@ Dennis
FMCSA set the guidelines for a class A driver as medically fit for duty to perform the duties within the basic job description. You could back back and ask the FMCSA this question. As in all things, there are shades of gray within the black and white of each guideline, so ask away.
I have a unique situation I have not run into before with one of my drivers and I’m looking to find out how to help him. My driver in question has been out on workman’s comp for a sever injury he sustained on the job and has been out of work for almost 2 years now and may still be out for another year or more. Without getting into a bunch of detail he was hit by a set of dual wheels that came off another truck while he was on the side of the road and is just getting back to walking with crutches and cannot drive Inter or intrastate because he cannot pass a DOT physical to get a medical card to self certify. He has gotten the “We are going to put you down to a Class D license letter”. So my question is in the state of Massachusetts is there a waiver he can get or something so he doesn’t have to go through the tests all over again to have his CDL reinstated?
@Doug
You’ll need to check with your local MA drivers license department for questions about maintaining a CDL.
(Our focus is on passing the DOT physical certification.)
See MA CDL and DOT Medical Card Requirements for contact info and website info.
I have osteoarthritis in knees. I walk very well with a cane. will I be disqualified?
@James
Only if you are unable to perform the duties of a CMV operator. CME’s are looking for medical fitness for duty and they have a basic job description for what a drivers job entails. As long as you can perform those duties, then you are good to go.
I have a brace on my left wrist I’m wondering if I’m still allowed to drive in the state of Pennsylvania. It is not broken just sprained. The doctor put no commercial driving on my note.
@Jim
It will depend on what you are driving and what your drivers classification is.
If you are intra-state only and you can perform the duties in your job description then you should be OK.
53 foot tractor trailer thru 4 States base is PA. ClassA
@Jim
Can you still perform the duties of a class A driver and a CMV operator?
If so, then you should be OK. But if you have difficulty doing your job, then you may need to let the wrist fully recover before trying to driver full time.
Thanks I will do that
My son is a right below knee amputee due to birth defect. He learned to drive with his left leg because the Drs said that is what they recommend to their patients. There are no regulations in California about driving with left leg. My son is no 20 and an EMT and he was refused an ambulance drivers license. It was very hard trying to find out why but one clerk said it was probably because he drives with his left leg. He is extremely fit and has been a Firefighter Explorer. He had a hearing and the hearing officer talked to a FMCSA representative and they agreed my son should be certified but when the case went back to The Ambulance review board they again rejected him He has waited a year to reapply and now drives with his right leg and he has a much more advanced prosthesis so he is about to reapply he only would drive in California and we have been told that on the new DL-51 forms there is a box the Medical Examiner can check for a waiver for in state drivers with missing limbs. Is this true? He has been to a couple of different examiners and they were clueless about this whole situation and we don’t want to make a mistake and he get rejected and have to wait a whole year again.
@Tina
Have the examination completed by the California examiner and he will mark that your son does “not qualify”. Then take that examination form to the state drivers license department and they will be the issuers of the needed waiver/exemption for him to “qualify” to drive in the state.
Does an anourysm in the aorta disqualify you on a DOT physical?
@Steve
It will depend on the location and the size of the anomaly. There are sizes and location that would be questioned in greater extent.
You will want to get a medical release note from your physician to help the dot physical medical examiner make an informed decision.
After having a Partal Knee Replacement Do you need to take a DOT performance physcial if you completed one last year, How many days of WORK LOSS are you allowed before this physcial is required,
@Karen
Any condition or illness that takes a driver from behind the wheel needs a new medical examination to determine fit for duty status. Not numbers of days, but ‘unable to drive’ for any reason.
They want to put a nerve stimulator in my back does that disqualify me from having my CDL
@Darrell
If you will be able to perform the duties of a CMV operator and pass as medically fit for duty, then the only other thing you will want to do is bring a medical release form from your doctor stating that you are fully released and a brief explanation regarding your situation. That release form gives the CME the type of information that he will need to base his final decision on.
Hi all, not sure whether this is the correct place to get an answer to my question, but it is a starting point. My Dr thinks I have a torn rotator cuff (I saw your answer on passing a DOT for that, I’ve been working for 6 weeks after the injury, so it’s not a problem passing with this injury). My Dr has taken me off work for 2 weeks so we can get an MRI done and see what needs to be done. Our Safety director has stated that I will have to have another certification after my dr releases me to work again. Do you know whether this is a DOT regulation? My husband has been off for other reasons, and never had to re-cert afterwards.
Thanks in advance
Wendy
@Wendy
FMCSA states that any injury or illness that takes a driver from behind the wheel has to have a new medical examination to determine fit for duty before returning to driving. It’s a FMCSA thing. In the past most of the examiners did not know that this was the law.
I’ve been out on workers compensation for over 6 months and medical card is due in a month. Drs do have me on full disability so obviously I can’t get qualified.will all drs on dot registry know that I’m on workers compensation.
@David
They don’t need to know, because you won’t be classed as fit for duty anyway.
I have a driver who is having a partial toe amputated. He will come back once he has been released by his doctor. Does he need to have a new medical exam/certificate issued before we put him back on shift? Or is the doctor release sufficient?
@Brooke
New medical cards are required of a driver returning from any situation that took him/her from behind the wheel. Medical fitness for duty must be determined before returning to driving.
I have an injured worker advising CDL regulations state he can not drive if he is required to wear a splint for a sprained wrist per his doctor. Is this true? Can he not drive with a splint on his wrist?.
@Bobbi
Is he medically fit to perform the duties of a CMV operator? If not medically fit for those duties, then he is not legal to operate a commercial motor vehicle.
I have a fractured arm and I needed to renew my medical card in a month if I got a cast can I still renew it? Please I need help with this
@Victoria
With the broken arm, you can’t qualify as a fit for duty driver. So check with your local drivers license department and see what options they have to offer. In most cases they can extend a helping hand with situations like your. Also be able to answer questions like when will the cast come off and how long before you will be released to return to work once the cast is off and the arm is back to near normal.
I WAS REAR ENDED 12/13/13 I INJURED MY BACK AND MY SHOULDER THE WORKMAN’S COMP DR RELEASED ME ON THE BACK, I HAD SURGERY 09/14/2015 ON MY SHOULDER I WILL GET A RELEASE ON IT 1/16/2016. 6 YEARS AGO ANOTHER DR SAID I HAD A HERNIA, IT HAS NOT BOTHERED ME SINCE, I’M A LITTLE HARD OF HEARING I’M GOING TO TAKE A SHOT AT PASSING A DOT IT’S ONLY $100.00 IF I PASS I QUALIFY FOR A GRANT TO GO TO A CDL SCHOOL IF ALL GOES WELL
I hurt myself lifting on the job. I live in NY. And I hold cdl class a with a hazmat endorsement. I delivered compressed gases. I have had 3 L5 surgeries the last being a fusion on June of 2015. My question is Am I going to be able to keep my cdl?
@bill
As long as you can perform the duties of a CDL operator, then you should do OK. Just make sure you have medical release form from your surgeon and you are sure you can pass the FMCSA physical examination.
Hi I was injured at work to by lower back dr release me to work full dutys, now I’m transferring to a deferent department and dignity health requires another physical can the dr where they send me to get a physical not clear me due to that if I’m already cleared by the company doctor
@Irma
A new DOT physical must be performed to determine your medical fitness for duty, so you need a new physical from a Medical examiner that is on the NRCME.
Fell on right shoulder. Doctor want to do surgury first of year but med card runs out jan 10 befor surgury can i still try and get med card
@Rich
You would invalidate your medical card the moment you went in for surgery.
Try checking with your local drivers license department and explain your situation. They should have a policy that will allow your CDL to stay while your are recovering from the surgery.
I broke my radius and ulna bones. I will be in a cast for several weeks. Will I be able to be cleared to operate a commercial truck?
@Kevin
Once you’re released by your doctor and you get a new medical card demonstrating medically fit for duty, you’ll be able to start driving again.
I no DOT as regulations as to when you can return to work after surgery. I need to know what the time frame would be for a stomach hernia
@Robert
As soon as you are released from your surgeon and you can perform the duties of a commercial driver. So you will need to pass a new medical certification examination. Also bring a medical release form from your surgeon, that will help the CME in his decision making process.
I currently have a cel, I have been diagnosed with degenerative disc disease in my lower back, L4/L5 & L5/S1, the disc are ruptured and pressing on nerves that send extreme pain and numbness through my left leg. I am taking Oxycodine to control the pain to a point where I can function. My left foot feels as though it is a sleep all the time, my company says I have to come to work am I eligible to drive at this time? I don’t think so but I need to know so I can direct them to the proper requirement documentation.
Thank you.
@Kevin
You would not pass the DOT examination and would be disqualified as a driver. You would not qualify as medically fit for duty. Check the FMCSA website for drivers job description, you don’t qualify.
I was in a motorcycle accident last year and lost function in three fingers on my left hand. Could I be in danger of losing my cdl?
@Mark
Not in and of itself, but you will need to demonstrate you medical fitness for duty. That may require a skills performance evaluation before being able to return to driving. If you can perform the duties of a commercial driver and the SPE is cleared, then you should be good to go.
I was in a roll-over accident in September. I’m in a neck brace until January. My DOT med. card is up in November what do I need to do. I will not be fit for duty until I am out of the neck brace in January.
@Jason
You’ll want to talk with your local drivers license department to see what they need you to do. You won’t qualify as fit for duty due to the injury and you don’t want to lose your cdl because of the injury. They must have some policy for situations like yours.
Hello:
Trying to find out if I should go through the process of getting a CDL, I’m currently LBKA (Left Below Knee Amputation) and also recently got diagnosed with type 2 diabetes (3 months) currently being controlled by medication, diet and exercise. Will any of this existing conditions hinder me from obtaining a CDL and if not what are the steps to follow? I have been doing a lot of research and believe I found most of the forms needed but not sure in which one comes first! Do I take the written test first and before the driving test get the medical exemptions (if I qualify!) or are there any other things I need to do? Any insight will be greatly appreciated and my thanks in advance.
John
@John
You would need get information from the FMCSA, since you will be required to have a waiver for the missing limb. That should answer most of the questions. Also check with your local drivers license department and see what information they have to give you about their process.
i have degenerative disc disease in my neck i have c3 c4 c5 c6 fused and a titanium cage i had a second surgery last October to put a rod in because one of the discs did not fuse i am a school bus driver the dr at concentra pulled me off the road in september he said i didnt have enough range of motion in my neck to drive a comercial vehicle what is the percentage of range do i need to go back to work
@Rhonda
About 70 degrees of motion in each direction would be a great start. The average person has about 90 degrees of motion in each direction. Also check into what your state wants with the use of your side mirrors, you are not driving interstate, so not sure why you would be held to interstate CMV driver standards.
I need cervical fusions for stenosis. My entire thoracic is fused because of scoliosis. Is it possible to have fusions of C4-5 and not put in rods if C6-7 do not have serious stenosis at this time? If the entire cervical spine is fused, can you drive? As you can tell, I am scared to death. Any help would be appreciated.
@Pat
Your surgeon will have to be the decision maker on what needs to be done. Most of the cervical ranges of motion occurs at the C1 to C3 levels, so once you are fully healed, you may be able to return to driving.
My husband did not pass his DOT physical because the physician at Consentra said he had Peripheral Neuropathy. The physician stated he needed to see a Neurologist. He went to the Neurologist, which we had no help on where to find one, and the Neurologist gave him an exam and stated he was fit for Commercial Driving. He had an EMG done. A nerve conductivity test and his Neurologist still says he is fit for commercial driving. He also went to see a Physiatrist and she stated that he was fine to drive a commercial vehicle. Nonetheless this physician at Concentra will still not pass him. What credentials does she have to override what two physicians with this specialty have?
As stated in the FMCSAMedicalExaminerHandbook
Peripheral Neuropathies This group of disorders consists of hereditary and acquired conditions where the nerves, including the axon and myelin or the myelin selectively outside the spinal cord, are affected. These conditions may affect the sensory or motor nerves individually, or both may be affected. Peripheral neuropathy may be a complication of diabetes mellitus. You should evaluate the sensory modalities of pain, light touch, position, and vibratory sensation in the toes, feet, fingers, and hands for signs of peripheral neuropathy.
The medical examiner at Concentra didn’t even touch him or evaluate him.
Recommend not to certify if: The driver has a diagnosis of a peripheral neuropathy. NOTE: Neuromuscular disorders represent a complex group of conditions. The severity can vary with the individual and in certain instances may be treatable or nonprogressive. Guidelines for reconsideration of the decision not to certify include: • Evaluation by a neurologist or physiatrist who understands the functions and demands of commercial driving. Specialist may recommend a simulated driving skills test or equivalent functional test. • Annual recertification that repeats specialist evaluation and driving test when indicated.
If the severity can vary with the individual and obviously it does, and he has done everything asked of him from this physician at Concetra, why can’t he get his DOT physical card? I have emailed the Medical Review Board with FMCSA as well.
@Kristina
So with all this information in hand, why don’t you just go somewhere else to get the medical certificate?
The physicians who have done all the background work for you must not be on the FMCSA’s NRCME registry, so the CME is left with his/her own evaluation. But it does require time and knowledge to evaluate each driver as they come in the door. Some of the ‘doc in a box’ places use the basic cookie-cutter approach and don’t even evaluate the drivers. Just take the easy money and screw the driver who needs a proper evaluation.
Answer: Take the available information and go somewhere else for the DOT certification.
Sadly she is on the National Registry. So I don’t think it’s fair.
What was your final outcome, and what further steps did you take to get there? if you could feel free to email me at djrolley02@gmail.com Thank You
I live in Tx. my medical card is due up for renewal, & I just broke my wrist on Fri at wk. Will this disqualify my from get my medical card renewed ?
@Dj
Yes, you are not fit for duty, so you would not pass at this moment. Any injury that takes you from behind the wheel is an instant disqualifier. So once you are released from your doctors’ care you should be good to go.
If you won’t be fit for duty by the time your medical card expires, let your local DLD know so they don’t automatically downgrade your license.
I had Anterior Cervical Discectomy and Fusion C4 and C5 will this cause me to fail DOT physical? I am a road driver , driving doubles and also dock work is involved