Tumor necrosis factor-␣ (TNF␣) is a proinflammatory cytokine involved in the development and maintenance of inflammatory and neuropathic pain conditions. TNF␣ can have long-lasting effects by regulating the expression of a variety of inflammatory mediators, including other cytokines and TNF␣ itself. However, the speed with which TNF␣ induces tactile and thermal hypersensitivity suggests that transcriptional regulation cannot fully account for its sensitizing effects, and some recent findings suggest that TNF␣ may act directly on primary afferent neurons to induce pain hypersensitivity. In the present study, we show that peripheral administration of TNF␣ induces thermal hypersensitivity in wild-type mice but not in transient receptor potential vanilloid receptor TRPV1 Ϫ/Ϫ mice. In contrast, TNF␣ produced equivalent mechanical hypersensitivity in TRPV1 Ϫ/Ϫ mice and wild-type littermates, suggesting a role for TRPV1 in TNF␣-induced thermal, but not mechanical, hypersensitivity. Because tetrodotoxin (TTX)-resistant Na ϩ channels are a critical site of modulation underlying mechanical hypersensitivity in inflammatory and neuropathic pain conditions, we tested the effects of TNF␣ on these channels in isolated mouse dorsal root ganglion (DRG) neurons. We report that acute application of TNF␣ rapidly enhances TTX-resistant Na ϩ currents in isolated DRG neurons. This potentiation of TTX-resistant currents by TNF␣ is dramatically reduced in DRG neurons from TNF receptor 1 (TNFR1) knock-out mice and is blocked by the p38 mitogen-activated protein kinase inhibitor SB202190 [4-(4-fluorophenyl)-2-(4-hydroxyphenyl)-5-(4-pyridyl)1H-imidazole]. Mechanical hypersensitivity induced by peripherally applied TNF␣ is also significantly reduced by SB202190. These results suggest that TNF␣ may induce acute peripheral mechanical sensitization by acting directly on TNFR1 in primary afferent neurons, resulting in p38-dependent modulation of TTX-resistant Na ϩ channels.