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    Mild sprains or other repeated injuries can irritate and tear the thin membrane covering a tendon, causing fluid to leak into a sac that swells and forms a ganglion.

    Ganglions are usually painless, but range of motion may be impaired. Flexing or bending the affected area can cause discomfort, as can continuing to perform the activity that caused the condition.

    Cysts on the surface of the skin usually develop slowly but may result from injury or severe strain. An internal ganglion can cause soreness or a dull, aching sensation, but the mass cannot always be felt. Symptoms sometimes become evident only when the cyst causes pressure on a nerve or outgrows the membrane surrounding it.

    Source: The Gale Group. Gale Encyclopedia of Medicine, 3rd ed.";

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