What is wrong with my bulging veins in my hands and feet? (Photo)

Usually the treatment of hand and foot veins is purely cosmetic.  Hand veins can be treated by laser, sclerotherapy or removal through mini incisions.  Foot veins are usually treated by sclerotherapy and removal through micro incisions. Both of these areas can have dilated veins which are usually related to genetic reasons more than anything else.  In older patients, thinning skin will lead to enlarged hand and foot veins.

Tender veins in the hands is an uncommon presentation, especially if it is bilateral. Inflamed veins in a hand can be related to having had an IV and resultant phlebitis, also known as inflammation of the veins. Since your issues are in both hands and feet, it is related to volume loss in the hands with the aging process, making the veins more apparent under the skin. Foot veins and ankle veins can be treated with sclerotherapy or microphlebectomy. Either procedure is not covered by insurance.Hand veins can be treated similarly with sclerotherapy, microphlebectomy or they can be "hidden" with fillers.Dr Karamanoukian