Severe Injuries That Often Follow a Truck Accident

Truck accidents are among the most devastating crashes on the road. Because of the size and weight of commercial trucks, even a low-speed collision can cause severe damage. Victims often face a long road to recovery—physically, emotionally, and financially.
In many cases, the injuries sustained are life-changing. From head trauma to broken bones, truck accident victims may require months—or even years—of medical care and therapy. Some are left with permanent disabilities that affect every aspect of their lives.
When the consequences are this severe, navigating the aftermath alone can be overwhelming. That’s why you might need a truck accident lawyer to help protect your rights, handle insurance companies, and pursue fair compensation while you focus on healing.
Read on to learn about the most common and severe injuries that often follow a truck accident.
Common Severe Injuries from Truck Accidents
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Traumatic Brain Injuries (TBI)
One of the most devastating outcomes of a truck accident is a traumatic brain injury. TBIs occur when the brain is jolted or pierced by force, often due to a sudden blow to the head or violent shaking during impact.
Common symptoms include:
- Memory loss
- Confusion or disorientation
- Headaches and dizziness
- Loss of consciousness
- Changes in personality or behavior
Severe TBIs may lead to long-term cognitive impairment, loss of motor function, or even a coma. According to the Centers for Disease Control and Prevention (CDC), motor vehicle crashes are a leading cause of TBI-related hospitalizations.
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Spinal Cord Injuries
Spinal Cord Injuries and Paralysis
The spine is highly vulnerable in a high-impact crash. Injuries can range from herniated discs to complete spinal cord damage. In severe cases, victims suffer partial or complete paralysis, which may be permanent.
Types of spinal injuries include:
- Paraplegia: Loss of function in the lower limbs
- Quadriplegia: Loss of function in all four limbs
- Compression fractures: Cracks or breaks in the vertebrae
- Herniated discs: Discs bulging out of place, pressing on nerves
These injuries often require extensive rehabilitation, assistive devices, and home modifications.
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Severe Burns and Road Rash
If a truck is carrying flammable materials, a collision can lead to fires or explosions. Victims may suffer first, second, or third-degree burns, depending on the severity and location.
Burn injuries may result in:
- Nerve damage
- Permanent scarring or disfigurement
- Infections
- Emotional trauma from visible injuries
Long-term treatment for burn victims often includes skin grafts, reconstructive surgery, and psychological support.
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Internal Organ Damage
Truck accidents can cause internal bleeding and organ damage that may not be immediately visible. These injuries are hazardous and require immediate medical attention.
Common internal injuries include:
- Ruptured spleen
- Punctured lungs
- Liver or kidney damage
- Internal bleeding in the abdomen
Failing to detect these injuries in time can be fatal, making immediate medical evaluation critical after any serious crash.
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Broken Bones and Fractures
Fractures are common in truck accidents due to the massive force involved. In many cases, bones break into multiple pieces, requiring surgical repair, metal implants, and months of physical therapy.
Victims may suffer:
- Compound fractures (bone pierces the skin)
- Comminuted fractures (bone shatters into pieces)
- Crushed limbs or joints
- Pelvic fractures (especially in side-impact collisions)
These injuries can take a considerable amount of time to heal and may still limit mobility even after recovery.
Legal Considerations for Truck Accident Injuries
Under the laws governing personal injury and motor vehicle accidents, victims of truck collisions have the right to seek compensation for medical bills, lost wages, pain and suffering, and other damages.
Most states apply negligence laws that require the injured party to prove that the truck driver or trucking company failed to exercise reasonable care. Additionally, federal regulations impose strict safety standards on truck operators, including:
- Hours of Service (HOS) regulations to prevent driver fatigue (49 CFR Part 395)
- Vehicle maintenance and inspection requirements (49 CFR Part 396)
Violations of these regulations can strengthen a victim’s case by demonstrating negligence or recklessness.
In some states, laws also allow for claims against multiple parties, such as truck manufacturers, cargo loaders, or trucking companies, if their negligence contributed to the accident.
Why Severe Truck Accident Injuries Need Special Attention
Recovering from a severe injury sustained in a truck accident involves more than just medical treatment. Victims may face emotional trauma, loss of employment, and long-term disabilities that impact their quality of life.
Given the complexity of truck accident cases, which often involve commercial trucking companies, insurance adjusters, and federal safety regulations, having a clear understanding of the types of injuries and the legal protections available can help victims seek fair compensation and proper care.