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Journal of the American Osteopathic Association


Osteopathic physicians, in particular, need to become more aware of not only appropriate medical evaluation and care of HIV positive patients, but also the special osteopathic findings and modalities in treating this patient population. Inherent with the HIV infection are disease patterns and opportunistic infections that reflect pathology in the musculoskeletal system. Additionally, a holistic approach to this patient population is most appropriate as issues of medical, emotional, social, spiritual and financial aspects play an important role in the quality of life.

The pathogenesis of HIV infection includes not only the dysfunction of the immune system, but also a series of multisystem changes in the patient. These systems are intimately related to lymphatic flow, the foundational issue in Osteopathic medicine. The Osteopathic examination of the HIV-infected patient will be discussed in detail and specific findings will be discussed. Additionally, therapeutic modalities including lymphatic pump, general mobilization, and correction of osteopathic lesions will be reviewed.

The osteopathic physician's role in this patient population will be emphasized.



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