Pulse radiofrequency has been recently described as a technique to apply a
relatively high voltage near a nerve but without the usual effects of a ris
e in temperature or subsequent nerve injury. In this set of case reports, t
he effect of pulsed radiofrequency (PRF) is described in patients with neur
opathic pain syndromes which have been poorly controlled with Other oral an
d invasive treatments. Whilst anecdotal, the results have been remarkable a
nd should encourage further research into this technique. Observations from
the basic science tend to support the concept that PRF may induce some sor
t of long-term depression in the spinal cord. (C) 1999 International Associ
ation for the Study of Pain. Published by Elsevier Science B.V.