Which is better: Freyka’s pillow or Pavlik’s stirrups?


Updated: 08.11.2022 16:03:34

From the first months of life after birth, the baby needs increased attention. The development of bone and muscle tissue is ongoing, and now he is already taking his first steps around the room. At this point, it is important to pay attention to how the child puts his feet. If he limps or rolls over, this may indicate the presence of hip dysplasia.


  1. Why are they prescribed
  2. Stirrups Pavlik
  3. Frejka pillow
  4. How long to wear
  5. Choosing the right size

Frejka pillow or Pavlik stirrups

The exact causes of the manifestation of pathology are unknown, so parents should especially carefully monitor the baby. Doctors identify predisposing factors:

  1. genetic predisposition (transmitted more often through the female line);
  2. excess progesterone in a woman before childbirth (impairs the development of ligaments and muscles in a child);
  3. limited mobility of the fetus in the uterus due to incorrect position;
  4. mother’s illnesses and negative factors at the stage of pregnancy;
  5. prematurity (tissues did not have time to develop properly).

In 80% of cases, dysplasia occurs in girls. If the mother had problems in childhood, then the child may have them. Strengthen the negative factors of the disease, prematurity of the fetus, disturbed hormonal levels.

What are they prescribed for?

Today, the issue of treating hip dysplasia is well studied, so a number of effective methods are used. For these purposes, a Freyka pillow or Pavlik’s stirrups are used, which allow you to hold the baby’s legs in a divorced position. This contributes to the proper development of ligamentous muscle tissues and the formation of functionality. It remains only to decide which of these devices is better and how they differ from each other.

Frejka’s pillow and Pavlik’s stirrups are used for similar tasks:

  1. keeping the femoral head in the correct position;
  2. strengthening the ligaments and muscles of the hip joint;
  3. stimulation of the development of the acetabulum and femoral head.

As soon as research established exactly how to treat dysplasia in babies, various specialists began to develop devices for this.

Stirrups Pavlik

Stirrups Pavlik

The device, created by the Czech orthopedist Arnold Pavlik, firmly fixes the baby’s legs in a divorced position. He cannot straighten them or bring them together. The device in the current version is a system of bandages and straps that are put on the chest and shoulders of the child, and fastened with straps to the ankle.

Pavlik’s stirrups should be used only under the supervision of an orthopedist, who selects the optimal length. Adaptation takes 3-4 days, during which the straps are tightened to the desired length. The amplitude of the spread of the legs is maintained throughout the entire wearing. The complication rate does not exceed 15%.


  • tight fixation of the legs in the correct position;
  • treatment of severe cases of dysplasia;
  • recommended up to 1 year;
  • ease of length adjustment;


  • risk of dislocation of the femoral head due to attachment features.

Pavlik’s stirrups are recognized as an effective treatment for hip dysplasia in various manifestations. But regular monitoring by an orthopedist is required, which reveals developmental abnormalities. While wearing, the stirrups must remain dry, otherwise they will roughen the skin of the baby.

Frejka pillow

Frejka pillow

The Frejka pillow fits under the knees and fixes the legs in a bent position. The baby takes the form of a “frog”, in which the muscles develop correctly. The device promotes spontaneous reduction of dislocation without complex and dangerous effects. It is a dense roller, located between the knees of the baby, and fixed in the correct position from a physiological point of view with special belts.

The Frejka tire is recommended to be used in the early stages of development – from 1 to 3 months. If there are suspicions of deviations in development, the pediatrician sends to the orthopedist, and he conducts an ultrasound examination and radiography. Self-treatment is not allowed.


  • gentle effect on the baby;
  • there is no adaptation period;
  • allowed to take pictures;
  • soft and comfortable tire;


  • restriction of movements;
  • only suitable for mild cases.

Frejka pillows are prescribed by specialists in the first six months of a baby’s life and act more as a preventive measure than a full-fledged treatment. This is especially true for complex situations with dislocations and subluxations of the hip. Studies show that Frejk’s duvets cause complications in 15% of cases – a little more than Pavlik’s stirrups, but still this is a low figure.

How long to wear?

How long to wear

Frejka pillow is recommended to be worn from 12 to 24 hours a day, depending on the instructions of the doctor. The total duration of the course for infants is no more than 2 months. The earlier deviations are detected, the easier and faster the treatment is. In some situations, for preventive purposes, Perinka Freyka is prescribed up to 1.5-2 years.

Like any orthopedic tool, it should be worn constantly. It is allowed to withdraw only in certain cases:

  1. diaper change;
  2. bathing and mandatory water procedures;
  3. wellness massage;
  4. physiotherapy procedures prescribed by the doctor.

The rest of the free time the baby spends with fixed legs. Throughout the entire period, the orthopedist regularly examines the infant. An ultrasound scan is recommended every two weeks to determine the extent of changes.

The main difference and disadvantage of Pavlik’s stirrups is the need for constant wear, especially in the first month. In this regard, they are prescribed only for dislocations and subluxation after 6 months from birth. Due to restrictions, there are difficulties with ordinary procedures – bathing, changing a diaper, changing clothes.

Parents should follow the recommendations of experts:

  1. put only a disposable diaper under the stirrups, immediately remove shorts, sliders, tights and other clothes;
  2. when changing a diaper, try not to lift the baby’s legs, but simply slip your hands under your hips;
  3. stirrup straps must remain dry, otherwise they will rub the skin, regularly inspect the baby to see damage;
  4. places with redness must be treated and massaged so that bruises do not appear;
  5. due to difficulties with bathing, it is better to use a wet sponge and wipe the child several times a day;
  6. pick loose suits and dresses to wear over stirrups;
  7. loosen the fixing belt on the chest during and after feeding for 1 hour.


During the entire period, the treatment of dislocations of the baby should be laid only on hard mattresses without pillows.

Since we are talking about the systematic correction of disorders of the hip joint, it is important to systematically follow the recommendations of doctors. Regardless of which device is used, it must be worn for the entire period. Parents feel sorry for the kids, so they remove the bandages, but this leads to a shift and the loss of all positive progress. It is important to remember that this will help get rid of serious complications in the future, this is necessary for his health.

Choosing the right size

To save your baby from discomfort, follow the instructions for use, regularly undergo examination by a doctor, choose the right size of bandages. Frejka pillows are produced with markings according to the age of the child and indicating the distance between the divorced legs. Approximately similar system for Pavlik’s stirrups:

  1. 0 size – for children from 3 months, up to 60 cm tall, up to 5 kg;
  2. 1 size – for children from 6 months, up to 60 cm, up to 8 kg;
  3. 2 size – for children under 1 year old, up to 75 cm, up to 11 kg;
  4. 3 size – for children up to 15 months, up to 85 cm, up to 10-12 kg;
  5. 4 size – for children up to 1.5 years old, up to 95 cm, up to 13 kg.

An orthopedic doctor will help you choose the right size and determine the distance at which the baby’s legs should be bred. In this case, discomfort is minimized, and the treatment is effective.


In the following articles, our experts will tell you how to choose the right ergo backpack, you will also find out which is better – a sling or a kangaroo and the secrets of choosing a sling.

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Attention! This material is the subjective opinion of the authors of the project and is not a purchase guide.


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