Visible blue veins on the backs of the hands are common as people get older. Although they can sometimes be associated with vein-related conditions, they are often a normal result of thinner skin, reduced fatty tissue beneath the skin, and changes in the appearance of superficial blood vessels.
For some people, visible veins appear alongside other changes, such as heavy legs, swollen ankles, nighttime leg cramps, or enlarged, twisted veins. These symptoms can have several causes, including chronic venous insufficiency, a condition in which blood does not return efficiently from
the legs to the heart.
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