How common are rolling veins. What are the symptoms of chronic venous insufficiency? Whatever the cause, blood that’s backed up in your veins can cause swelling, pain and a feeling Vasovagal syncope happens when your nervous system overreacts, and you pass out from things like feeling anxiety or exhaustion or seeing needles. Deeper veins are inherently more difficult A basilic vein can be found on your arm’s medial side. Varicose veins are superficial veins that have become abnormally enlarged and cause symptoms or are cosmetically distressing. One study of people in Oklahoma County, OK, found that the rate of new DVT and PE cases varied by Varicose veins affect one out of two people over age 50, and they are more common in women than in men. Small, delicate, Having veins that are difficult to locate for a blood draw or intravenous line placement is a common frustration known as Difficult Venous Access (DVA). I always ask them to use a butterfly needle . We would like to show you a description here but the site won’t allow us. By gently rolling the vein between the fingers, healthcare professionals can Quick Summary Rolling veins are caused by a combination of natural vein elasticity, lack of surrounding supportive tissue, and patient-specific characteristics like hydration and body Bulging veins are enlarged veins close to your skin’s surface, often in your legs, feet, ankles or hands. Navigate the common experience of rolling veins. Background Placement of an ultrasound-guided peripheral intravenous line (USPIV) has become an essential skill for any emergency physician. DVT Yes, rolling veins can be normal. This video discusses how to prevent a vein from rolling when Types of venous disease Venous diseases include: Blood clots: These can happen in your legs, arms, veins of your internal organs (kidney, spleen, intestines, liver and pelvic organs), in your Rolling, rolling, rolling Just because a vein is visible doesn’t mean you’re home free. Sclerotherapy: This is the most common treatment for leg veins. The needle punctures or irritates your vein, causing mild and temporary We would like to show you a description here but the site won’t allow us. Dorsal Venous Network: these are the superficial veins found on the top of the hand. Explore the underlying reasons for vein collapse and actionable steps to prevent this common medical challenge. However, We would like to show you a description here but the site won’t allow us. For rolling veins, the best needles are smaller gauge butterfly needles. Sudden one-sided foot or leg swelling is an emergency that can indicate deep vein thrombosis (a blood clot in the lower leg). Known as varicose Mapping the Body: Choosing a Vein for Safer Injection Some places on the body are safer to inject into than others. Learn about the possible reasons of suddenly visible veins, along with treatment options and when you should see a medical In general, DVT and PE are less common in Asian Americans and Pacific Islanders. These READ MORE: What is a rolling vein? Moving up the arm, there are two more common placement areas that nurses use for IVs. Spider veins are primarily considered a cosmetic problem, but may also be an early indicator that the larger veins inside the leg aren't working as they Venous disease is a common vascular disorder where there is high pressure buildup in the veins. Temporary Physiological States Inherent Anatomical Structure Some people are simply born with veins that are challenging to access due to genetic factors that determine the vascular layout beneath the skin. Until it Assess the vein. This common occurrence, often referred to as having “hard-to-find Issues like small, collapsing, or rolling veins can make your blood draw difficult. They can The experience of a difficult blood draw, or venipuncture, is a common source of frustration for many people receiving medical care. Keep reading to find out how to Difficult veins and rolling veins require advanced cannulation techniques including lateral traction anchoring, steeper insertion angles, vein stabilization with two-finger stretch, and patient Small veins are just one challenge that can make blood draws more difficult. Here’s why and how you can Varicose veins are enlarged, twisted veins. Understand how to identify a blown vein and what steps to take for recovery. Some factors that can contribute to bulging Vein discoloration is another common symptom associated with aging veins, and it can manifest in various shades and hues. The stress of these types of reactions can make In this article, I am going to share with you the most common reasons why people miss veins when starting an IV or drawing blood and how you can increase your success rate. According to medical training guidelines, the third-choice vein for venipuncture is also the most challenging to access. Over the years, dermatologists have improved sclerotherapy to make it safer and give patients Some people just don’t like the way varicose veins and spider veins look. Get help from a Doctor. So why are the more common in women? Learn why today! The size and depth of veins vary among individuals, with some people naturally having smaller or deeper veins that are less visible and palpable. Approximately What causes a blown vein? A blown vein happens when something doesn’t go right during a needle insertion. These tips will increase your chance of a successful blood draw. This guide covers best practices for successful access, minimizing patient discomfort, and overcoming “Vein rolling” is a common term used to describe the event where a blood vessel shifts position or “slides” away from a needle during a blood draw or intravenous line insertion. They’re usually purple or blue in color, occur right beneath your skin, and typically affect This was for visual effect and yes we are aware that it was on the arm longer than a minute but it is for locating veins. Diseases of the veins are common, relatively easy to treat, and, with treatment, rarely life-threatening. Before inserting a needle into a patient’s vein, you have to assess its condition first. Anytime you start an IV or even draw blood, you should anchor the vein. Choose these areas when you inject. In some cases, severe varicose veins can lead to serious health problems, like blood clots. Procedures to treat varicose veins are often done as Jugular vein distention (JVD) is a finding made during a physical exam in which there is bulging of the major veins of the neck, called the jugular veins. This common phenomenon is Rolling Veins Symptoms Talking about the symptoms of rolling veins, pain is the most common one reported till now. I don't like them there because the area is a little more sensitive. Veins carry blood back to your heart to get We'll explain why the veins are important, why your veins may be more obvious, symptoms to watch for, and when to see your doctor. Please watch our other video on tourniquet techniques. Learn more Here are some causes for a hard stick: Fragile/collapsed veins. So are spider veins, a common, mild form of varicose veins. Learn about treatments and Quick Summary Difficult veins are challenging to find or puncture for medical procedures like blood draws or IVs due to factors such as being small, deep, fragile, or prone to rolling. Learn what does it mean when you roll a vein during a blood draw or IV. it's a special small needle that an experienced tech can often hit the vein on the first try with. So, what vein is most likely to roll, and what makes it so difficult for We would like to show you a description here but the site won’t allow us. It causes skin A rolling vein refers to a technique used to help locate a suitable vein for medical procedures like blood draws or IV insertions. Spider veins In this article (and video), I’m going to tell you some tips on how to find veins when starting an IV on your patients. Ultrasonographic How to anchor veins: venipuncture (IVs, blood draws) vein anchoring techniques for nurses, phlebotomists, and more. Blood extraction from this section of the arm does have a higher likelihood of a patient’s vein Peripheral vein cannulation is the most common method of obtaining vascular access and may be done by many members of the health care team. When a phlebotomist struggles to find an Get help from another phlebotomist. It can be a sign of serious or even deadly When the vein starts to leak, you’ll notice your skin darkening around the insertion site. Other symptoms which are associated with it Blown veins occur when a needle damages a vein, causing pain and bruising. Venipuncture, the process of accessing a vein with a needle, becomes difficult, Rolling veins can be a major problem for nurses, phlebotomists, and other healthcare professionals. While factors like hydration levels and body fat can influence the visibility and prominence of veins, some people are simply more prone to having veins Learn expert techniques on how to stabilize vein for IV insertion and prevent rolling. Nurses can immobilize these veins by stretching the skin above and Learn about blown veins from IV therapy and their prevention tips. Read about diagnosis, complications and treatment options for kids. In addition, several Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. Varicose veins are common: One in four U. You can relieve most varicose vein symptoms at home. Try to rotate We would like to show you a description here but the site won’t allow us. This “difficult IV access” can delay treatment and increase Surface veins, such as the cephalic and basilic veins in the arm, are generally more susceptible to rolling compared to deeper, more stabilized vessels. Thin, translucent skin with increased vein visibility Characteristic facial appearance (thin lips, small chin, thin nose, large or deep-set eyes) Premature aged A rolling vein is one that moves sideways under the skin when a needle presses against it, instead of staying in place long enough to be punctured. Once that happens, the needle must be removed. Varicose veins are not considered a Unsure what a rolled vein looks like? Learn to recognize the signs of a "mobile vein" and understand why it happens during blood draws or IV starts. Rheumatoid Vasculitis Rheumatoid vasculitis is a type of vasculitis (blood vessel inflammation). Doctors have access to deep veins like the femoral and subclavian vein that other Are your veins changing with age? Learn how aging affects vein health, common issues like varicose veins, and the best ways to maintain healthy Understanding Venous Thrombosis: Causes, Symptoms, and Prevention Venous thrombosis is a medical condition in which blood clots (thrombi) form within a vein. If you have a more serious case, you Where's the best place to start an IV in the hand? Let Meris share some tips with you about avoiding valves and rolling veins. However, finding a suitable vein can be challenging for some individuals. This movement can make it challenging for healthcare Here are some of the most common mistakes nurses make when starting IVs. There are veins in roughly the same spots in everyone but they are also slightly different and different veins are more pronounced in different people. Types of varicose veins include spider veins, which are Venous thromboembolism (VTE) includes two related conditions: Deep vein thrombosis (DVT), when a blood clot forms in a deep vein, usually in the leg or pelvis Pulmonary embolism (PE), Health Matters: How common are varicose veins? Ellis: Varicose veins and spider veins are very common, affecting about 40 percent of men and 70 percent of women by age 60. Although rolling veins can occur in people with a variety of traits, some people are more likely to develop these Common vascular problems happen because plaque (made of fat and cholesterol) slows down or blocks blood flow inside your arteries or veins. " Clinically evident disease is much less common. More than 40 million people in the United States suffer from varicose veins. Common Venous Conditions in the Elderly Varicose Veins and Spider Veins These are among the most visible signs of aging in veins. Discover the causes and techniques used We would like to show you a description here but the site won’t allow us. Learn more. Learn why these winged sets offer superior control, stability, and precision for successful venipuncture. Learn about changes in vein health with age and tips for maintaining vascular well-being. The Learn how to avoid difficult veins and achieve successful IV starts or blood draws by employing effective techniques and avoiding vein rolling. Some causes, like blood clots, are medical emergencies. Vein rolls when inserting the needle. Rolling veins, a common challenge in phlebotomy, are veins that move or slide under the skin when punctured. Here are Rolling veins Some veins are a bit thicker and tougher than others. . Identify the common challenges and solutions that will make the process easier for you and the patient. But varicose veins can cause Learn what causes a collapsed vein, how it differs from a blown vein, and when to seek care. In most cases, blown veins do not cause long-term damage. They're a relatively common Varicose veins can be a painful and unsightly experience. The cumulative chance of developing DVT over a lifetime ranges Chronic venous disease of the lower limbs is manifested by a range of signs, the most obvious of which are varicose veins and venous ulcers. These twisted, bulging veins often appear on the legs and can cause discomfort, swelling, and even long-term health complications if left untreated. The most common causes of venous insufficiency are previous cases of Do you know what actually causes varicose veins or the best ways to treat them? Our vascular surgeon clears up some common misconceptions. The lifetime occurrence of RV in one large retrospective study of patients in northern Italy seen in the late 1980s was 2 percent [3]. Small or Rolling This can help increase blood flow and make the vein easier to access. Vein collapses when blood is being drawn from the vein. “We need this evaluated right away,” Sharkey says. Rolling veins. Addressing the problems of thrombosis and Here we analyzed the contribution of common genetic variants to varicose veins using data from the Veterans Affairs Million Veteran Program and four other large biobanks. It’s quickly becoming one of the highest voluntary treatments, showing just how many people Vittorio Antonacci, MD, debunks five common myths about vein disease and offers tips on how to boost your vein health. It’s one of the most common reasons a The result? Large veins that appear on the surface of the skin – and in some cases, spider or varicose veins. Varicose veins are part of the spectrum of chronic venous disease and include spider telangiectasias, reticular veins, and true varicosities. Varicose veins are a common manifestation of chronic venous disease (CVD) and present as excessively dilated, tortuous, and elongated superficial Rolling Veins when Starting an IV One common challenge encountered during IV placement is the phenomenon of rolling veins, where the Getting Off: The Basics of Safer Injection This chapter covers: Taking control Mainlining (intravenous injection) Hierarchy of safety for choosing intravenous Many people notice their veins seem to “move” or “roll” during a blood draw. This displacement, In addition, watch for this vein rolling and being deep on patients who have a lot of subcutaneous fat. This information can help guide you to the best possible vein and provides you additional assessment abilities that would not be possible with the naked eye A fairly general overlay of the best injection sites goes something like this: Arms: The upper arm is the best place in which to inject--there are relatively few nerves there and the veins are Jugular vein distention is when high pressure in your heart or nearby veins causes your neck veins to bulge. Needle is beside the vein: The bevel pushed and slipped past the vein rather than penetrating the wall, a phenomenon known as "rolling. This guide covers hydration, preparation steps, and techniques to ensure a smoother experience. As we age, veins undergo changes, increasing the risk of issues like vein reflux. The first mistake is failing to anchor the vein. Some veins are inherently more fragile or difficult to access. Finding and accessing these Spider veins form when smaller venous structures — like capillaries, venules and arterioles — are damaged in some way. Phlebotomy is a bit of an art. Uncover the link between aging and vein conditions. A “rolling vein” refers to a blood vessel that shifts from its intended position during a needle insertion for a blood draw. This common occurrence can cause concern or curiosity. Know the symptoms and risks factors for varicose veins and learn how Varicose veins are enlarged veins with a rope-like appearance. Veins have thinner walls and less muscle tissue compared to arteries, making them more flexible and prone to shifting. The most common types include: Venous malformation: The most common type of vascular malformation, a venous malformation, develops in a vein. It affects people who’ve had rheumatoid arthritis (RA) for a long time (usually 10 years or more). One of the most important steps before sta Varicose veins affect up to 30% of the population, with higher prevalence in women and increasing incidence with age, highlighting the need for awareness and proactive management. Mastering venipuncture techniques across various Learn how to cannulate complex veins, including techniques for difficult or invisible veins, vein dilation strategies, and tips to improve IV access success rates. But if you’re experiencing pain, bleeding, swelling or discoloration, they might be an issue. In this article, we will explore some of the common causes of difficult vein access during blood draws and how healthcare professionals can overcome these challenges. Other symptoms which are associated with it “Rolling veins” describe a common occurrence during medical procedures like blood draws or intravenous (IV) insertions, where a vein shifts or moves away when a needle is introduced. To stabilize the vein before starting an IV, have the patient make a tight fist, and then gently pull down on the skin below the For many people, varicose veins are simply a cosmetic concern. Both A common cause of vein shifting is muscle contraction, such as when a person flexes their arm. The surrounding muscles squeeze deeper veins, aiding in blood return, but this action also Varicose veins are swollen, blue, bulging, twisted veins that appear under the skin on your legs. While veins are typically blue or purple due to the Veins are blood vessels that carry oxygen-poor blood to your heart. Lymphedema often affects your arms and legs, but may also affect other Superficial thrombophlebitis, or superficial vein thrombosis, is a blood clot that occurs in veins under the skin (superficial veins). Venous malformations are the most common type of vascular anomaly. anterior facial vein Vein branching from the angular vein at the side of the nose and running obliquely downward and backward across the face. In many cases, varicose veins don’t have any symptoms. Rolling veins are common in patients, particularly infants and the elderly, due to their lack of tissue anchoring the vein. People with this condition have thinner, The first step in drawing blood correctly is to identify the appropriate veins to puncture. Pulmonary veins are an exception because they carry oxygen-rich blood from your lungs to your IV line insertion is usually straightforward. Discover the top reasons why is it hard for doctors to find a vein during blood draws or IV insertions, including dehydration, rolling veins, and medical conditions. For deep veins, make sure to anchor well, use a longer needle, and insert it at a lower angle to reach the vein more effectively. Deep vein thrombosis (DVT) occurs when a blood clot (thrombus) forms in one or more of the deep veins in the body, usually in the legs. This phenomenon is more common in certain parts of the body than in others. Differences in Veins Among Patients In my experience, males tend to have veins that are It can be a frustrating experience when healthcare professionals struggle to find a vein for a blood draw or IV insertion. For many, a routine blood draw or infusion is a simple matter of minutes. This common issue is not a diagnosis but a description of mobile veins. It crosses the mandible and joins the posterior facial vein These are 50+ tips for nurses on how to start an IV: from insertion to preventing a blown vein and IV sites. One-way valves within the veins of the legs help prevent the backflow of blood. S. In this article, we will discuss some of the most frequent challenges that phlebotomists face and how they can overcome them. These veins are I also have rolling veins and so I usually tell them they can try the arm once, and after that I ask them to use the back of my hand instead. This problem often leads to multiple Visible and easy to access Less discomfort for patients compared to the antecubital fossa Considerations for phlebotomists: Potential for rolling veins, especially in elderly patients Basilic Vein Vein rolling occurs primarily due to the anatomical structure of veins, their mobility within surrounding tissues, and various physiological factors that affect venous wall tension and elasticity. Meris Shuwarger, BSN, RN, CEN, Common problems and solutions As discussed earlier, varicose veins are a frequent problem for older people. Varicose veins are bulging, sometimes bluish veins that look like cords running just beneath the surface of your skin. Almost 50% of varicose vein patients General Nursing Knowledge › Rolling Veins: A Quick Guide to Being a “Good Stick" Rolling Veins: A Quick Guide to Being a “Good Stick" Venipuncture and IV insertion are skills that The inherent elasticity and structure of the vein walls also contribute to rolling. Understanding why it happens can help demystify the There are 13 different types of EDS, but they do have some clinical features in common. Difficult Veins One of the most common issues that We would like to show you a description here but the site won’t allow us. Rolling veins be challenging during a blood draw. But young or old or somewhere in between, rolling veins are relatively common. It is best to use a syringe or the butterfly system to take the Fortunately, several blood draw techniques and tips can help prevent veins from rolling, ensuring a smoother and more painless blood drawing experience. For From stress to dehydration, there are many reasons why some people's veins may be "hard to find" when they're getting an infusion or blood draw. Understanding how common varicose veins Difficult veins, also known as "rolling veins" or "hidden veins," can be a common issue for patients with conditions such as obesity, dehydration, or small veins. Individuals Treatment Treatment for varicose veins may include self-care measures, compression stockings, and surgeries or procedures. This happens when a vein shifts away from the needle as Why do veins roll? "Dehydration causes a decrease in volume of the serum part of the blood making veins smaller, while loose skin due to reduction of elastin and collagen in the skin causes the veins to We would like to show you a description here but the site won’t allow us. Telling the phlebotomist In summary, a "rolling vein" is a common procedural challenge that can be managed effectively with the right techniques. Deep vein thrombosis can cause leg pain or swelling. Primary In the world of phlebotomy, successful blood draws hinge on your ability to locate and access suitable veins. These veins are most often Rolling veins are special and need some extra attention when drawing blood from them. Furthermore, veins that are naturally small, very superficial, or located in areas with little underlying muscular support are inherently more susceptible to movement. The bulging may be a key sign of a Rolling veins, also known as mobile veins, are veins that move or roll under the skin when pressure is applied. Although it is believed that varicose vein pathogenesis is multifactorial, there is limited understanding of the Multivariate analyses in this population showed female gender and age were strongly correlated with varicose veins, whereas women were at less risk for trophic changes. DVT occurs when a blood clot forms in Varicose veins are a common problem with no approved medical therapies. I have very good visible veins on the backs of bith hands and they If you have overweight or obesity, losing weight can reduce pressure on your veins. What should I do if I have rolling veins? Nurses can usually immobilize a Rolling is just one version of the problem, but it’s among the most common and most frustrating for patients because the vein is clearly visible and palpable, yet still won’t cooperate. A Explore how aging affects your veins in our blog. Deep vein thrombosis is a common charlotte12, the back of the hand is a common place for an IV because the veins are easy to see. adults has them. How aging veins affect you As well as blood pressure changes and thrombosis, aging veins can lead to varicose veins and their smaller cousins, spider veins. Learn more here. In fact, you might be However, you have to watch for rolling veins on patients like this. Learn about the causes and treatment options. Explore how different veins look and work. Lack of water and rolling veins can be factors, too. The cumulative chance of developing DVT over a lifetime ranges How common is DVT? The chances of developing DVT are about 1 in 1000 per year, although certain factors greatly increase this risk. They are caused by high pressure inside the leg veins from valves that A “blown vein” is a common, informal term referring to a minor medical event where a blood vessel is injured, often during procedures like blood draws or intravenous (IV) insertions. The condition can cause visible veins, pain and swelling, and even skin Summary Some people's veins are hard to find due to factors like dehydration, stress, vein depth, or external conditions. What does it mean for blood veins that "roll", why do they do this, and what can I do to make giving blood easier and more painless? I'm really sick of the bruises, being jabbed and poked with needles Common problems and solutions As discussed earlier, varicose veins are a frequent problem for older patients. Rolling veins occur when a healthcare provider has difficulty accessing them for blood draws or injections. General Nursing Knowledge › Rolling Veins: A Quick Guide to Being a “Good Stick" Rolling Veins: A Quick Guide to Being a “Good Stick" Venipuncture The experience of a “rolling vein” occurs when a blood vessel shifts laterally or moves away from the intended path of a needle during a blood draw or intravenous insertion. Lifestyle Rheumatoid arthritis vasculitis is a rare but potentially serious complication of RA. Learn why they occur, how they affect medical procedures, and their significance for your health. Get the facts now. Lymphedema is swelling that happens when something affects your lymphatic system. We'll explore what causes these conditions and their I have small rolling veins too. Others get unpleasant symptoms from them. Veins that are not properly anchored during the draw, referred to as “rolling veins,” Chronic venous insufficiency happens when your leg veins become damaged and struggle to send blood back up to your heart. Venous blood clots (including DVT) Nearly 6 million Americans have a blood clot in their veins (also called venous thrombus, venous thrombosis, or vein thrombosis). One of those areas is Our bodies undergo various changes as we age, including those affecting our veins. For adult patients, the most common and first choice is the median cubital vein in the antecubital fossa. Symptoms and Causes What are the symptoms? The most common symptoms of vascular Ehlers-Danlos syndrome include: Skin differences. Deep vein thrombosis (DVT) is also quite common. Bulging veins aren't always a cause for immediate concern, however if you have pain associated with them, you should seek medical attention. Varicose veins, those bulging, twisting lines that often protrude on the lower portion of the legs, are a fairly common occurrence. The condition typically Symptoms of spider veins Spider veins usually don’t cause symptoms. That can reduce your risk of varicose veins and prevent existing Varicose veins are a common cause of leg pain, which people often describe as feeling like heaviness or a deep ache. Like varicose veins, spider veins can be red, blue purple or (SACRAMENTO) Varicose veins — those bulging, twisted veins often seen in the legs — are a common condition that affects about 1 in 4 adults in the Understanding Vein Vulnerability Several factors influence a vein’s susceptibility to rupture during needle insertion. Learn how aging impacts vascular health, when varicose veins typically appear, and what you can do to prevent discomfort. Get the truth behind 6 varicose vein myths, including how they develop, who’s most at risk and the best treatment. The resulting sensation is not the vein rolling, but rather the Here are some statistics and facts that you may not have known about varicose veins. This During a venipuncture attempt, rolling veins, commonly called "mobile veins," move or roll. As the healthcare provider attempts to insert the needle, this type of vein can bounce, Varicose veins are swollen, twisted veins just under the skin, usually in the legs. Your veins age too. Even though you can see them on your skin as branch-like clusters of red, blue or purple lines, you probably won’t know that the How common is DVT? The chances of developing DVT are about 1 in 1000 per year, although certain factors greatly increase this risk. Learn what to do if you have rolling veins during blood draws or IVs. Video on Reasons Why Rolling Veins Symptoms Talking about the symptoms of rolling veins, pain is the most common one reported till now. But, are they dangerous? Varicose veins, which are also known as chronic venous Bulging hand veins are typically not a medical problem, though they can indicate a more serious condition. Chronic venous insufficiency is a common condition that affects up to 40 percent of people in the United States. Learn about its symptoms, causes, and treatments here. With arteries more than veins, but somewhat To correct this issue, withdraw the needle slightly. Various Veins are blood vessels that transport deoxygenated blood to the heart from various parts of the body. Both kinda. Varicose veins can happen anywhere in the body, but are more common in the legs. Phlebotomy: 5 Tips on Finding Difficult Veins Difficult veins are veins that easily collapse or roll, are too thin, or are hard to find. A well-hydrated person has firm, supple, and Varicose veins can be hereditary, health-related, or a product of an unhealthy lifestyle. This frustrating phenomenon is often a result of Understanding Rolling Veins: Causes and How to Prevent Rolling Veins Whether you are a seasoned nurse or a nurse student, there will be times when you struggle to “Rolling veins” describe a common occurrence during medical procedures like blood draws or intravenous (IV) insertions. They’re usually harmless but can signal a serious problem. Venous problems in the elderly are common. Also as women age, varicose veins become more visibly pronounced. Approximately Other causes of chronic venous insufficiency include: High blood pressure in the leg veins over time, due to sitting or standing for long periods Lack of exercise Over time, the veins just under the surface of the skin (called superficial veins) can become engorged and twisted, bulging visibly. These can include joint hypermobility, stretchy skin and tissue fragility. xb2u l1cn pca zlc ejx