The muscly yoga devotee revealed her ultra-veiny hands, and rippling biceps - a result of her intense daily three-hour workouts
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.
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