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Buffalo Hump can it be made smaller by any means?
Jun 1, 2003

Are there any exercises,therapies,massages that can lessen the size of a buffalo hump?

Response from Dr. Young

The therapies to reduce cervical adiposity ("buffalo hump") are few and difficult.

Some have suggested that stopping protease inhibitor therapy would help (based on the idea that PIs caused the humps)-- this has not shown any benefit in any studies that I'm aware of; there are reports of persons that have had benefit from stopping all therapy.

There are reports about vigourous exercise reducing central and cervical fat accumulation-- not successful in most, but the reports are dramatic.

We have had some persons with severe cases of cervical adiposity who have resulted in having surgical resection of the lesions-- this is not liposuction, but rather the surgical removal of the enlarged region. The surgery has resulted in reduction in size, but we and others have noted the gradual return of the fat, even in the absence of HIV therapy.

Overall, this remains a very difficult and stigmatizing lesion; treatments are frankly not very good yet. BY



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