Jack the truck up so the weight is off both wheels. If you can wiggle the tire 1/32" with the lug nuts torqued properly, you have at least one bad ball joint.
I would think that bad alignment could wear ball joints prematurely, but I am not entirely sure. It seems logical, but not necessarily true.
I have bad alignment and a bad ball joint, among other things. Don't know if one lead to the other or if a 3rd thing caused both. For a ball joint, from what my friend showed me, if you can move it easily around it's bad.
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