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Truck Accident Injury Treatment

Collisions with 18-wheelers, delivery vans and other commercial vehicles tend to involve more force and more complicated claims. Your care should be just as thorough.

  • Most major insurance
  • Personal injury & workers' comp
  • 6 North Texas clinics

Heavier vehicles, heavier injuries

A loaded commercial truck can weigh many times more than a passenger car, so the forces in a truck collision are often severe. Neck and back injuries, disc injuries, concussion symptoms and injuries to the shoulders and knees are common.

Commercial vehicle claims can involve the driver, the trucking company and more than one insurer. Clear, consistent medical records from the start matter even more.

How we help

  • A complete exam and imaging when indicated
  • Treatment for spine and soft tissue injuries
  • Referral to medical specialists when your injuries need it
  • Detailed records you can share with your attorney

Why are 18-wheeler crashes different from ordinary car crashes?

The size and height of a commercial truck change what happens in a collision. A car can slide under a trailer, get pushed into other traffic, or be struck from above the bumper line. Those crashes often involve more than one impact, which can injure the spine and joints in several directions at once.

Multi-impact crashes are harder to reconstruct from memory. You may remember being hit from behind but not the second impact against a barrier or another car. Details from the crash report, photos and witnesses help us understand every direction your body moved, which guides where we examine.

Truck crashes on busy DFW corridors can also happen at highway speed, where emergency care comes first. Once fractures, head injuries and internal injuries have been ruled out or treated, the neck, back, shoulder and knee injuries that remain are where our providers focus.

Occupants of a car also tend to brace hard in the seconds before impact when they see a large truck coming. Bracing locks the arms and legs, which can load the shoulders, wrists, knees and ankles in ways a surprise impact would not.

Who can be responsible after a commercial truck crash in Texas?

More than one party may share responsibility for a truck crash. Depending on the facts, that can include the driver, the motor carrier that employs or contracts with the driver, a company that loaded the cargo, or a business that maintained the truck. Sorting that out is legal work for an attorney.

This matters for your care because several insurers may be involved, each asking for records at different times. Consistent records that tell the same story from the first visit are easier for every party to follow. We send records only with your written authorization.

Trucking companies and their insurers often move quickly after a serious crash. Many injured people choose to speak with an attorney early. We are not attorneys and cannot advise you on that choice, but we can start your treatment right away so your health does not wait on the claim.

How much insurance do commercial trucking companies have to carry?

Federal rules set minimum financial responsibility for many interstate trucking companies. For-hire carriers hauling non-hazardous property in vehicles rated at 10,001 pounds or more generally must carry at least $750,000, and certain hazardous materials require $1 million or $5 million. Actual policies vary, and intrastate rules can differ.

Those figures are minimums, not what a claim is worth, and they do not decide whether a claim succeeds. Coverage questions depend on the carrier, the cargo, the route and the policy language, so an attorney is the right person to review them.

For you as a patient, the practical point is simple: a commercial claim can take a long time to resolve. Planning how your care will be paid in the meantime, through your own coverage, health insurance or an arrangement with your attorney, keeps treatment on track.

Keep copies of any letters or calls from insurers and share them with your attorney if you have one. Tell our front desk which insurers have contacted you, so record requests made with your authorization go to the right place.

What injuries are common after a truck accident on North Texas highways?

Truck crashes commonly cause neck and back sprains and strains, disc injuries, concussion symptoms, and shoulder, hip and knee injuries from bracing or hitting the cabin. Many people have several injured areas at once, so a thorough exam of each region matters more than focusing only on the worst pain.

Nerve symptoms deserve close attention. Numbness, tingling or weakness in an arm or leg can point to a disc pressing on a nerve, and those findings may call for an MRI or a specialist referral. Headaches, dizziness, light sensitivity and trouble concentrating can follow a concussion even without hitting your head.

Go to an emergency room right away for loss of bladder or bowel control, numbness in the groin or inner thighs, worsening weakness, severe headache with vomiting or confusion, or chest and abdominal pain. These can signal serious injuries that need immediate medical care.

  • Neck and low back sprains and strains
  • Disc bulges and herniations
  • Concussion symptoms
  • Shoulder and rotator cuff strains
  • Knee and hip injuries from dash or door impact

What records should you keep after a truck or delivery van crash?

Keep the crash report number, photos of the truck including any company name and DOT number on the door, the driver's information, witness contacts, all medical bills and a log of missed work. Add a simple symptom journal, noting pain levels and activities you cannot do, a few times a week.

Company markings and numbers on the truck help identify the carrier later, and they are easy to forget once the vehicle is gone. If a photo was not possible, write down what you remember as soon as you can, including the color of the cab and any logos.

Keep your medical story consistent. Tell every provider, including the ER, your primary care doctor and our team, the same account of how the crash happened and what hurts. Inconsistent histories are one of the most common problems in injury records, and they are easy to avoid.

If you drive for a living and were not working at the time of the crash, say so. If you were working, tell your employer promptly, because workers' compensation rules may also apply.

Frequently asked questions

Should I talk to an attorney after a truck accident?
Many people do, because these claims can be complicated. We are not attorneys and cannot give legal advice, but we can start your care and coordinate records with the attorney you choose.
Is a crash with a delivery van treated like an 18-wheeler claim?
Sometimes. Delivery vans, box trucks and service vehicles are often commercial vehicles, so an employer or its insurer may be involved, but the rules and coverage can differ from a large tractor trailer. An attorney can sort out which rules apply. Spine Health & Wellness treats the injuries the same way, with a full exam and clear records, at six North Texas clinics.
What if the trucking company's insurer calls me before I have been treated?
You can focus on your care first. Many people talk to an attorney before giving a statement to another party's insurer, and an attorney can tell you what makes sense for you. Spine Health & Wellness cannot give legal advice, but we can examine you promptly in Irving, Bedford, Grapevine, Arlington, Carrollton or Fort Worth and document your injuries.
Does it matter if the truck driver was an independent contractor?
It can matter to the claim, because it may affect which company and which insurer is responsible. That is a legal question for an attorney, not something you need to solve before getting care. Spine Health & Wellness can start treatment right away and provide records, with your authorization, to whichever attorney or insurer needs them.
How long does care usually take after an 18-wheeler crash?
It is often longer than after a minor car crash, because truck collisions tend to involve more force and more injured areas. Some patients improve over weeks and others need care over several months, sometimes with specialist input. Spine Health & Wellness re-examines truck accident patients at intervals and adjusts the plan based on measured progress, not a preset number of visits.
Will I need an MRI after a truck accident?
Not always, but it is more common after truck crashes than after minor collisions. An MRI is generally considered when there are signs of disc injury, nerve symptoms like numbness or weakness, or pain that does not improve with care. Spine Health & Wellness orders X-rays when indicated and refers North Texas patients for MRI when exam findings call for it.
Are truck accident claims governed by federal or Texas rules?
Often both. Federal rules apply to many interstate motor carriers, including minimum insurance levels, while Texas law generally governs injury claims and deadlines such as the two year limitations period for most personal injury lawsuits. How they combine depends on the facts, so ask an attorney. Spine Health & Wellness focuses on treating and documenting your injuries.
What if I was driving a work vehicle when a truck hit me?
Your care may fall under workers' compensation, and you may also have a claim against the at-fault driver. Report the crash to your employer promptly, since Texas generally requires notice within 30 days, and ask whether workers' compensation applies. Spine Health & Wellness treats both work and accident injuries, and our workers' compensation pages explain how that system works.
Can Spine Health & Wellness coordinate with specialists after a truck accident?
Yes. When truck accident injuries need an orthopedic, neurology or pain management opinion, or advanced imaging, we refer you and keep your records connected so each provider sees the full picture. Our Medical Director oversees diagnostic and treatment protocols across our North Texas clinics, which helps care stay consistent as more providers become involved.

This page is general information, not legal advice. For questions about a claim, talk to an attorney or the agency that handles your claim.

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