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A randomized controlled trial compared first metatarsophalangeal joint (MTPJ) arthrodesis, a joint fusion surgery for painful hallux rigidus (arthritis of the big toe joint), with watchful waiting in reducing walking pain.

Tiny pollution particles from smoke, soot, and dust may worsen rheumatoid arthritis and raise the risk of painful flares, particularly after prolonged exposure. The findings suggest that avoiding poor air quality could become an important part of managing the disease.