When a commercial truck is involved in a collision, the injuries are rarely minor. The most common injuries in trucking accidents affect the head, neck, back, and limbs, ranging from fractures and burns to catastrophic spinal cord damage and traumatic brain injuries. Because of the immense force and weight of a commercial truck, these injuries are frequently severe and lead to lifelong complications.
The most challenging part of the recovery process is not the visible wounds, but the "hidden" injuries that surface weeks or even months later. These delayed symptoms, combined with the financial strain of medical bills and lost wages, create immense pressure on a family. Pursuing fair compensation requires a thorough accounting of all potential outcomes of an injury—both what you are dealing with today and what you may face in the future.
At Pendergast Law, we understand the difficult nature of these cases. If you have a question about the injuries you or a loved one suffered in a truck accident, call us at (206) 620-0707 for a conversation about your situation.

Key Takeaways for Commercial Truck Accident Injuries
- Truck accident injuries are exceptionally severe. The sheer size and weight disparity between a commercial truck and a passenger vehicle means collisions result in catastrophic harm, requiring extensive and costly long-term medical care.
- Not all injuries are immediately apparent. Symptoms from conditions like internal damage or whiplash may take days to surface, which is why you must seek a complete medical evaluation immediately after a crash to document your condition.
- Multiple parties may be held liable for your injuries. Responsibility may extend beyond the driver to include the trucking company, maintenance crews, or parts manufacturers, creating multiple avenues for seeking compensation.
The Immediate Impact: Catastrophic and Life-Altering Injuries
Securing the resources needed for a lifetime of care becomes the central challenge. This involves planning for ongoing therapies, home modifications, and potential loss of all future income. A legal claim must account for this entire picture.
Traumatic Brain Injuries (TBIs)
A TBI occurs when a sudden blow or jolt to the head disrupts the brain's normal function. In a truck accident, this happens as a closed head injury, where the brain strikes the inside of the skull, or an open head injury, where an object penetrates the skull.
The long-term effects are devastating, leading to cognitive deficits, memory loss, personality changes, and emotional instability. For some, a TBI means a lifetime of dependency on rehabilitation, therapy, or even full-time residential care.
Spinal Cord Injuries and Paralysis
The violent forces in a trucking accident sever, crush, or compress the spinal cord, interrupting the signals between the brain and the rest of the body. This results in permanent paralysis.
Paraplegia is the loss of function in the lower body, while quadriplegia affects the entire body from the neck down. The associated costs are astronomical, including home and vehicle modifications, specialized medical equipment, and the constant need for professional medical assistance. These expenses quickly exhaust even generous insurance policy limits.
Amputations
The crushing force of a collision with a large truck damages a limb so severely that it cannot be saved. The loss of a limb is a physical and emotional trauma and the beginning of a lifetime of expenses. Prosthetics need to be replaced periodically, extensive physical therapy is required to learn how to use them, and many individuals grapple with the psychological impact of issues like phantom limb pain.
Severe Burns
Truck accidents involving fires or hazardous material spills cause horrific burns. Burns are categorized by degree, with third and fourth-degree burns being the most severe, destroying layers of skin and underlying tissue. The recovery process is excruciating, involving multiple skin graft surgeries, a high risk of infection, and permanent, disfiguring scars. The emotional toll of surviving such an ordeal is just as significant as the physical pain.
The Debilitating Injuries That Unfold Over Time
Not all serious injuries are immediately obvious. Some of the most debilitating conditions that arise from trucking accidents are those that may seem minor at first but develop into sources of chronic pain and disability. Insurance adjusters for the trucking company may try to downplay these injuries, suggesting they are not related to the crash.
These are the injuries that quietly erode a person's quality of life. The constant pain makes it impossible to return to a physically demanding job, enjoy hobbies, or even perform simple daily tasks. Over time, this slow drain on your physical and emotional well-being leads to a significant financial crisis. As trucking accident lawyers, one of our primary goals is to document these "creeping" injuries and connect them directly to the accident to ensure they are fully accounted for in any settlement.
Back and Neck Injuries (Herniated Discs and Whiplash)
A herniated disc is like a jelly donut that gets squeezed so hard the filling pushes out. In the spine, the soft center of a vertebral disc bulges or ruptures, pressing on sensitive nerves and causing intense pain, numbness, or weakness.
Similarly, whiplash is far from a minor complaint; this serious soft-tissue injury causes chronic pain, dizziness, and cognitive issues that persist for years.
Internal Organ Damage
The blunt force trauma from a truck crash causes significant internal injuries. Organs like the liver, spleen, and kidneys are bruised or ruptured, leading to internal bleeding. Broken ribs puncture a lung. One of the most dangerous aspects of these injuries is that symptoms may not appear for hours or even days. This is why you must seek a thorough medical evaluation immediately after any commercial truck accident, even if you feel fine.
Complex Bone Fractures
A simple fracture involves a clean break in a bone. In a high-impact truck collision, however, victims frequently suffer complex or comminuted fractures, where a bone is shattered into multiple pieces. These injuries typically require multiple surgeries to implant plates, screws, or rods to hold the bone fragments together. Even with successful surgery, there is a significant risk of developing long-term arthritis, chronic pain, or a permanent loss of mobility in the affected joint.
Why Are Injuries From Truck Accidents So Severe?
It's about more than just the size of the truck. The severity of the types of injuries suffered in trucking accidents is directly linked to violations of federal safety rules—regulations put in place specifically to prevent these kinds of catastrophic events. Our role involves a deep investigation into these factors to determine how they contributed to the collision.
The Basic Physics: Force and Weight Disparity
A fully loaded semi-truck weighs up to 80,000 pounds, while the average passenger car weighs around 4,000 pounds. When these two forces collide, the occupants of the smaller vehicle absorb a devastating amount of energy. There is no such thing as a "fender bender" with a commercial truck. This imbalance is why accidents like underride and override collisions, where a car slides under the trailer or the truck drives over the car, are frequently fatal.
When Federal Safety Rules Are Ignored
The Federal Motor Carrier Safety Regulations (FMCSRs) are the official rulebook for the trucking industry. When trucking companies and their drivers ignore these rules, the risk of a deadly accident increases dramatically. Some common violations include:
- Driver Fatigue: The law sets strict limits on how long a driver is on the road. Violations of these Hours-of-Service rules lead to exhausted drivers with dangerously slow reaction times. A tired driver easily causes a multi-car pileup.
- Improper Maintenance: Worn-out brakes, bald tires, or malfunctioning lights are all preventable failures. A tire blowout or brake failure at highway speeds causes a driver to lose control, leading to rollovers or jackknife accidents that result in severe crushing injuries.
- Overloaded Cargo: Trucks have maximum weight limits for a reason. Overloaded or improperly secured cargo shifts during transit, making the truck unstable and far more likely to tip over on a curve or during a sudden maneuver.
How Do Truck Accident Injuries Impact Children, Older Adults, and Pregnant People Differently?
Not everyone recovers from an injury the same way. The same crash that leaves a healthy adult with bruises might send a child to intensive care, or cause a pregnant person to lose their baby.
That matters, because any settlement or legal claim should reflect your circumstances—not just the mechanics of the crash.
Why Age and Physical Condition Change Everything
The force of a truck collision hits everyone in the vehicle. But it doesn’t hit everyone equally.
Children are still developing. Their bones are softer, their spines more flexible, and their brains still forming. What looks like a mild head injury on a scan today may evolve into developmental delays or behavioral issues months later. If they miss school, struggle socially, or need therapy—those are losses that deserve to be counted.
Older adults don’t bounce back as easily. A fracture that a younger person might recover from in eight weeks could take months, or never fully heal. Hip fractures, rib breaks, and spinal compression injuries in this group frequently lead to loss of independence, permanent disability, or early placement in assisted living. These outcomes aren’t just physical; they are life-altering.
Pregnant individuals face a dual risk: one to themselves, one to the baby. Even a seemingly minor crash can cause placental abruption (when the placenta detaches), early labor, or miscarriage. The medical costs are only part of the harm. The emotional toll, and the trauma of what was lost, must also be acknowledged in the legal process.
What Does This Mean for Your Claim?
It means we build a different kind of case. Will your child need tutoring or special education support? Will your parent lose the ability to live independently? Did the accident change your ability to grow your family?
We may consult with pediatricians, maternal-fetal medicine specialists, geriatricians, and others who can explain, clearly and confidently, what that injury means for you.
You Shouldn’t Have to Explain Why This Hit You Harder
And you won’t have to. We will.
When the insurance company looks at your file, they’re focused on costs they can measure. Our job is to show them what they can’t see on a receipt: how this crash changed the rhythm of your home, your family, your sense of security.

Frequently Asked Questions About Truck Accident Injuries
What if my pain didn't start until a few days after the accident?
This is very common. In the moments after a crash, your body is flooded with adrenaline, which masks pain. Many serious conditions, particularly soft tissue damage or some internal injuries, take time for their symptoms to become fully apparent. The delayed onset of pain does not weaken your claim; in fact, it underscores the importance of getting checked out by a doctor right away.
The insurance adjuster for the trucking company seems nice. Why shouldn't I just accept their offer?
The adjuster’s job is to protect their employer’s financial interests by resolving the claim for the lowest amount possible. They are part of a business that must balance paying claims with making a profit. An initial offer almost never accounts for the full scope of your future medical needs, lost earning potential, or the long-term pain and suffering these injuries cause.
How much time do I have to file a claim for my injuries in Washington?
In Washington, the statute of limitations for most personal injury claims is generally three years from the date of the accident. This deadline is absolute. If you miss it, you almost always lose your right to pursue compensation forever. Speak with a legal professional well before this deadline approaches.
Can I still have a case if I was partially at fault for the accident?
Yes. Washington uses a comparative fault rule. This means you still recover damages even if you were partially to blame for the crash. Your final compensation award will simply be reduced by your percentage of fault. A key part of our work is to conduct an independent investigation to ensure no unfair blame is placed on you.
Who can be held responsible for my injuries besides the truck driver?
Several parties might be liable. Under a legal principle called vicarious liability, the trucking company is typically responsible for the actions of its driver. In addition, if a maintenance provider failed to properly service the truck, the cargo loader improperly secured the freight, or a manufacturer produced a defective truck part, they could also be held responsible for contributing to the accident.
How We Help You Secure Your Financial Future
We understand that you may feel hesitant about starting a legal process while focusing on recovery. However, the deadlines to act are firm. The trucking company and its insurer began building their case within hours of the crash, with teams of people dedicated to protecting their interests.
Let us handle the legal process so you may focus on what matters most. The first step is a straightforward, no-pressure conversation about what happened to you. Call Pendergast Law today for a no-cost discussion of your case at (206) 620-0707.