Yes, a standard X-ray, such as a panoramic dental X-ray or a neck X-ray, can successfully show an elongated styloid process, though a CT scan provides the clearest view. This condition is often harmless and very manageable. If it causes discomfort, known as Eagle's syndrome, treatment focuses on relieving symptoms. Doctors typically prescribe anti-inflammatory medications like ibuprofen or naproxen to reduce pain and swelling. For nerve-related pain, medications like gabapentin or pregabalin are highly effective. Occasionally, local anesthetic or corticosteroid injections are used. Rest assured, conservative treatment works well for most people, and surgery is rarely the first step.