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They also showed less satisfactory outcomes than nonsmokers in spinal surgery [114, 115] and arthroplasty [116] in terms of pain relief, patient satisfaction, and QOL

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Having trouble sleeping or concentrating Your sleep may be disrupted at first and you may also find it harder to focus and concentrate as your body goes through nicotine withdrawal

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Limited Range of Motion : The range of motion in the affected joints may be limited, making it hard to perform tasks that require fine motor skills