Can hiv start with just muscle aches as the only symptom?

See below: Hiv is a virus that may lead to aids, or a severe dysfunction in the immune system. Hiv in and of itself does not usually present with muscle aches; some of the diseases the patient may contract if his immune system is not working may cause this. So the short answer to the question is - no. If you are concerned about hiv, see your doctor soon for a blood test!

Unlikely, but...: Hiv infection can occur with a variety of nonspecific symptoms, such as fevers, sweats, weight loss, fatigue, headaches, sore throat, swollen lymph nodes, diarrhea, rash, and also muscle aches. These symptoms also are similar to a cold or a flu. Thus, the only way to know if you are hiv-infected is to get tested for hiv.