What is the best hyaluronic acid brand or type fo knee in?

Regardless of the brand they use, just know that like steroids, HLA is only temporary. And make sure they inject it while using guidance so it's put in the right area of your knee. I've had this done on multiple occasions, but it was several years ago, and before my 5 knee operations in total.

@mrmacabre So why did you need 5 knee operations? There must be something we can learn from that I would think. But, back to the HLA types - the medical specialists are making strides in terms of offering new types of HLA formulations. That's what I'm after - one type of reformulated HLA that will last longer than others, and I don't care if insurance pays for it or not. I don't favor a knee specialist offering the bare minimum in terms of treatment for pain (HLA). Has the orthopedic profession reduced their concentrated effort on just knee replacements, hip replacements, shoulder replacements, etc.?
Another example of "new procedures" is GAE - "Genicular Artery Embolization" wherein the blood flow to the lining of the knee is blocked, to reduce inherent inflammation. An Interventional Radiologist is the specialist who uses x-rays and other imagery to treat the pain with surgery. It's meant to treat knee osteoarthritis.

@laughlin1947 I needed to have surgery to repair a torn meniscus in BOTH knees in 2010, but put the surgery off until October of 2011. I was still working at the time, so they did both of them at the same time. I was only out of work for 5 weeks before going back to my job of driving a truck on a delivery route for Office Max. It was a very physical job that I did for almost 17 years before I had to walk away from my job and "retire" in July 0f '15.
I've been retired on permanent disability ever since. After my retirement, I had to have 2 more surgeries on my left knee for the same reason, torn cartilage before they did a partial replacement in 2018. I was hoping for a total replacement, but it didn't happen.
As of right now, I'm having a lot of pain in my right knee that needs a total done, but my orthopedist wants me to lose 30 pounds first, kinda hard to do when I can't walk or stand for more than a few minutes due to the pain in my hips, knees, and feet. My left knee is still giving me problems, even with the partial.
I think that I'm done with specialists like orthopedists and neurologists, all it does is cost us money that we don't have, and it never fixes anything. The pain is always there, and I don't see it ever getting any better.

I'm having some short-term surprising success with HLA (I think they call it "viscoelec") injections -- I recently got 3 injections in each knee in total, 1 week apart for each injection. It adds extra liquid cushioning in the knee joint. But I think there are higher grades of the injectable HLA - I see ads on line for at least 3 other types that the mfr claims will last longer. My ortho doctor said the other HLA injectable types would not be covered by insurance. I have Scan HMO Medicare. Well, I don't care about the cost if the injection(s) last longer, like several months' duration. I just had my arthroscopic surgery on my left knee in April 2025. They could not repair the cartilage/meniscus as well as I'd like, so I have a spot that is bone on bone and can be very painful. Walking at times can be very painful, and I live on Tylenol. My messed up back adds to that pain. I don't know what a "partial" knee replacement would do for me, because I don't know the details of what tissue/bone cutting they do. All the ortho doctors just let TKR roll off their tongue and don't want to consider something different and less invasive than a TKR.

I get knee injections that really help alot with the osteoarthritis in my knees, my dr refers to them as “Rooster Comb” injections, it’s a gel shot. I hope you find relief soon🧡

@laughlin1947 I received HLA injections in my left knee, but the results were very short lived.