Trigeminal Neuralgia Clinic

U.S. News Best Hospitals

The Trigeminal Neuralgia Clinic provides advanced medical and, when appropriate, surgical treatment for patients with trigeminal neuralgia. Our neurologists are also experts in evaluating undiagnosed patients who are experiencing severe facial pain, to determine whether their pain is caused by trigeminal neuralgia or another disorder.

Medication, or medical therapy, is the first line of treatment for trigeminal neuralgia. If your pain is no longer controlled by medication, you may be a candidate for neurosurgery.

Evaluation Process

Most patients begin with a comprehensive medical evaluation with one of our neurologists, Dr. Neil Raskin or Dr. Richard Cuneo, to determine what's causing their severe facial pain. If trigeminal neuralgia is found to be the cause, Drs. Raskin and Cuneo will first try to control the pain using medication. If medical management is not successful, surgical treatment may be an option, and you will be referred to our neurosurgeon, Dr. Edward Chang, for an evaluation.

If you've already received a definitive diagnosis of trigeminal neuralgia, and medication has not resolved your pain, your neurologist may refer you directly for an evaluation with Dr. Chang. Please note that patients may not self-refer for a surgical evaluation.

We are part of the UCSF Weill Institute for Neurosciences.

Depending on your health insurance, you may need a referral from a primary care doctor.

Getting Here

Trigeminal Neuralgia Clinic
400 Parnassus Ave., Eighth Floor
San Francisco, CA 94143
Phone: (415) 353-2892
Fax: (415) 353-2898

Hours: Monday to Friday
8 a.m. – 5 p.m.

What to Bring

  • Health insurance information including authorizations or referrals
  • List of current medications and dosages
  • List of medications you've tried in the past to treat trigeminal neuralgia
  • List of medications that you're allergic to
  • List of questions you may have
  • Recent test results related to your condition
  • Paper and pencil to take notes

Access Your Health Information Online

This clinic uses UCSF MyChart, an online patient service. Message your provider, request medication refills, view some test results and more.

Learn more about UCSF MyChart

Patient Services


Parking at Parnassus

Public parking for an hourly fee at UCSF Medical Center is available in the seven-level Millberry Union Garage at 500 Parnassus Ave. There are two garage entrances — one on the north side of Parnassus Avenue and another on Irving Street, just east of Third Avenue.

Another garage with an hourly fee, at 350 Parnassus Ave., is open Monday to Friday from 6 a.m. to 10 p.m.

Metered street parking is rarely available.

Patients being admitted to the hospital may be dropped off at the circular driveway leading to the main entrance at 505 Parnassus Ave. This area also may be used to pick up patients who are being discharged.

For more information about parking at Parnassus, call Campus Parking Services at 476-2566.

Valet Parking Service

Valet parking service is available at the Ambulatory Care Center (ACC) at 400 Parnassus Ave. from 8 a.m. to 3 p.m. The valet service is free but patients must pay regular parking fees. For more information about the valet service, call (415) 476-6200.

A UCSF "greeter" also is available at the ACC from 8 a.m. to 5 p.m. to assist patients find their way.

Public Transportation


UCSF Medical Center is accessible via Muni streetcar line N-Judah*, which stops at Second Avenue and Irving Street, and the following Muni bus lines, which stop in front of the hospital:

  • 43-Masonic*
  • 6-Parnassus

For more information about Muni visit,

* Wheelchair accessible bus routes

Related Information

Ways to Give

Condition Information

Our Team

Edward Chang
Edward Chang, MD
Richard Cuneo
Richard Cuneo, MD
Neil Raskin
Neil Raskin, MD
Mariann Ward
Mariann Ward, NP, MS, CNS
Nurse practitioner