The presence of a spur can be easily determined via X-ray, and there are a variety of ways to pursue treatment. Physicians will usually treat the underlying problem that has created the spur, while anti-inflammatory drugs such as ibuprofen and cortisone may be administered to alleviate pain and discomfort. In some cases, (particularly for shoulder spurs), surgery may be suggested to smooth down the protruding area and ease abrasion. A rehabilitation program of gradually increased physical activity may also be advised after the fundamental issue has been resolved.