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Arm and Leg Conditions

Aeromedical Dispositions for Pilots

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Excerpts from AME Guide
Decision Considerations


Aerospace Medical Dispositions


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Arms and Legs

Aerospace Medical Dispositions
Item 42. Upper and Lower Extremities

The following lists the most common conditions of aeromedical significance, and course of action that should be taken by the examiner as defined by the protocol and disposition in the table. Medical certificates must not be issued to an applicant with medical conditions that require deferral, or for any condition not listed that may result in sudden or subtle incapacitation without consulting the AMCD or the RFS. Medical documentation must be submitted for any condition in order to support an issuance of an airman medical certificate.

Disease/Condition Class Evaluation Data Disposition
Amputations All Submit a current status report to include functional status (degree of impairment as measured by strength, range of motion, pain), medications with side effects and all pertinent medical reports If applicant has a SODA issued on the basis of the amputation - Issue

Otherwise - Requires FAA Decision

After review of all medical data, the FAA may authorize a special medical flight test
Atrophy of any muscles that is progressive, Deformities, either congenital or acquired, or
Limitation of motion of a major joint, that are sufficient to interfere with the performance of airman duties
All Submit a current status report to include functional status (degree of impairment as measured by strength, range of motion, pain), medication with side effects, and all pertinent medical reports Requires FAA Decision
Neuralgia or Neuropathy, chronic or acute, particularly sciatica, if sufficient to interfere with function or is likely to become incapacitating All Submit a current status report to include functional status (degree of impairment as measured by strength, range of motion, pain), medications with side effects and all pertinent medical reports Requires FAA Decision
Osteomyelitis, acute or chronic, with or without draining fistula(e) All Submit a current status report to include functional status (degree of impairment as measured by strength, range of motion, pain), medications with side effects and all pertinent medical reports Requires FAA Decision
Tremors, if sufficient to interfere with the performance of airman duties* All Submit a current status report to include functional status (degree of impairment as measured by strength, range of motion, pain), medications with side effects and all pertinent medical reports Requires FAA Decision
For all the above conditions: If the applicant is otherwise qualified, the FAA may issue a limited certificate. This certificate will permit the applicant to proceed with flight training until ready for a MFT. At that time, at the applicant's request, the FAA (usually the AMCD) will authorize the student pilot to take a MFT in conjunction with the regular flight test.

The MFT and regular private pilot flight test are conducted by an FAA inspector. This affords the student an opportunity to demonstrate the ability to control the aircraft despite the handicap. The FAA inspector prepares a written report and indicates whether there is a safety problem. A medical certificate and SODA, without the student limitation, may be provided to the inspector for issuance to the applicant, or the inspector may be required to send the report to the FAA medical officer who authorized the test.

When prostheses are used or additional control devices are installed in an aircraft to assist the amputee, those found qualified by special certification procedures will have their certificates limited to require that the devices (and, if necessary, even the specific aircraft) must always be used when exercising the privileges of the airman certificate.

* Essential tremor is not disqualifying unless it is disabling.


Note: Numbers correspond to the required entry in the AME portion of the FAA Form 8500-8

25. Head, Face, Neck, and Scalp 42. Upper and Lower Extremities
26. Nose 43. Spine and other Musculoskeletal
27. Sinuses 44. Identifying Body Marks, Scars, Tattoos
28. Mouth and Throat 45. Lymphatics
29. Ear 46. Neurologic
30. Ear Drums 47. Psychiatric Conditions
31. Eyes 48. General Systemic
32. Ophthalmoscopic 49. Hearing
33. Pupils 50. Distant Vision
34. Ocular Motility 51. Near and Intermediate Vision
35. Lungs and Chest 52. Color Vision
36. Heart 53. Field of Vision
37. Vascular System 54. Heterophoria
38. Abdomen and Viscera 55. Blood Pressure
39. Anus (No Disposition) 56. Pulse
40. Skin 57. Urinalysis
41. G-U System 58. ECG (No Disposition)

Note: Numbers correspond to the required entry in the AME portion of the FAA Form 8500-8

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