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I am thinking I need to have my truck aligned.
The reason:
Whenever I get up to 45mph the steering wheel really starts to shake but stops when I get above 60.
Am I correct in thinking I need an alignment? How often do you all have your trucks aligned? It seems to me that it might needed it quite a lot with the bumps on the roads and some rough country driving.
being out of alignment doesn't cause vibrations. you either have a tire balance issue or loose parts (tie rods ends, ball joints, axle u-joints) in the front end.