Large venous bulging in wrist adjacent to ulna styloid process, no pain, bulge disappears when arm is elevated: options? (Photos

It’s important to distinguish between varicose veins and spider veins when choosing between laser therapy, sclerotherapy, and vein surgery. With two board certified vein specialists, our center uses a combination of visual examination, functional flow measurements, ultrasound, transillumination, and infrared light to map out vein networks prior to therapy. Lasers can be used to treat deep varicose vein insufficiency, vein perforators, and varicose veins. Sclerotherapy is ideal for spider veins and reticular veins. Whereas surgery is reserved for severely incompetent varicose vein segments.


Best,
Dr. Karamanoukian
Realself100 Surgeon

I agree with the other physicians that this is a typical site for a ganglion cyst. As vein specialists, we do not see veins in the dorsum of the wrist. It can be easily confirmed by transillumination, in person examination or ultrasound. IHratch L Karamanoukian MD FACS
certified vein specialist (ABVLM) and double board certified surgeon

Your posted pictures look like a ganglion cyst and, if this is the case, it can be surgically removed.  If it is a vein then it could be injected (sclerotherapy) or removed through a micro incision.  The other option would be to leave it alone.  See a hand surgeon or vein specialist for an evaluation.

From your picture it looks more like a ganglion cyst, which is related to the joint or tendon, than a bulging vein. You should be evaluated by your physician or an orthopedic or hand surgeon.  If that is what it is, your physician can aspirate the fluid or surgically remove the cyst.