The Human Immunodeficiency Virus and Osteopathic Manipulation Evaluation Study

Inclusion Criteria: * are either Antiretroviral Therapy (ART) naïve or not have taken ART for the past 12 months * are between the ages of 18 to 65 * have a CD4+ T cell count between 200-700cells/mm3 * have viral loads less than 100,000 copies/mL * do not have any medical condition that limits his ability to participate in this study as defined by his physician (e.g., cancer, blood clotting disorder etc.) * are willing to provide informed consent * are not using any drugs recreationally * are not on prescribed systemic steroids * are willing to recruit a friend/partner, aware of the their HIV serostatus, to be trained in OMT techniques and apply it to him daily. Exclusion Criteria: * history of malignancy excluding both squamous cell carcinoma and basal cell carcinoma of the skin and/or any malignancies fully treated and considered cured by the treating physician for at least 1 year * aortic aneurism/disease * vertebral artery disease * carotid artery stenosis/disease * abdominal hernias * portal hypertension * cirrhosis * cervical disc disease currently exhibiting radicular symptomatology (i.e. numbness, burning, muscle weakness, etc) * infectious mononucleosis in the past 12 weeks, * pneumothorax * bone disease * Participants with a medical access port and/or a noncompliant ribcage will be excluded from the study. * The potential causes for ribcage noncompliance include: * congestive obstructive pulmonary disorder (COPD) * spinal arthritis * costochondritis * congestive heart failure (CHF) * pulmonary edema * recent trauma to the ribcage * certain connective tissue disease such as Ankylosing Spondylitis * There is a risk of abdominal aortic aneurysm (AAA) rupture in participants with AAA and these participants are excluded from the study.