Hand veins are normal veins which simply appear prominent, like those on the top of the feet and are not truly considered “varicose veins”. They appear especially large when the hand is allowed to rest lower than the heart (down by your side). They can appear similar to bulging veins in the legs. Hand veins are often used for intravenous access, however they are considered poor choices for the purposes of IV lines or for taking blood samples and are not appropriate for emergency use. Prominent hand veins may be treated with sclerotherapy injections or phlebectomy (surgical removal). We usually do not treat veins that are located above the wrist.