She's so vein: the very veiny hand of Madonna

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The muscly yoga devotee revealed her ultra-veiny hands, and rippling biceps - a result of her intense daily three-hour workouts - as she left her gym in London.

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Hand of Madge: Madonna revealed extremely veiny hands as she puts herself through daily three-hour workouts to remain in shape

Her gnarly hands are said to be the result of over-exercising

Clutching an assortment of mobile phones, and wearing a short-sleeved t-shirt, the Queen of Pop's hands appeared gnarly, and claw-like, and were criss-crossed by numerous bulging veins.

At 48, there's no doubt the mother-of-two is in enviable shape, as seen in the video for hit song 'Hung Up' in which she appeared in a skimpy leotard that would be spurned by women half her age.

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In shape: The 48-year old mother-of-two is in enviable shape due to her punishing workout schedule

But it seems her hardcore attitude to exercise is having a somewhat negative effect on other areas of her body.

Just like actress Angelina Jolie whose appearance last week raised similar fears, it seems Madonna's pulsing prominent veins are a tell-tale sign of over-exercising.

Trainer Mark Munroe said: "Such increased vascularity is often the result of over-exercising, particularly weight-bearing or resistance work".

The singer had a meeting in London with environmental campaigner Al Gore, who is recruiting top-name stars to sign up for the Live Earth concert in July.

Madonna has agreed to close the concert which will be staged at Wembley.