Does mild sclerosis of bilateral sacroiliac joints due to mild degenerative changes have chance of no further degeneration? constant quad spasms, trouble sleeping, neck,spine,hip, ankle pain. symptoms worse quickly. i get iron infusions,iga,g,m def?

Mild degen changes: There is always a chance that mild degenerative changes can progress to moderate or severe issues, depends on how well you take care of yourself to prevent more damage

Prevention: As has been mentioned, future care is key as things can progress. Would see a rheumatologist, do stretching and aerobic exercise, with a trainer, and employ periodic physical therapy. Sacroiliac belts are available online and relatively inexpensive but allow temporary stabilization and decrease of pain in many cases.