COVID-19 Update
Litchfield County Orthopedic & Spine, PC (LCOS,PC) is continuing to provide medical care to our patients during this Covid-19 outbreak. Appointments can be provided in person or via telehealth through an option of two audio-video platforms.
Our Mission
We are an Orthopedic practice specializing in conditions related to the spine. Dr. Garden has been practicing since 1998 providing care to the Litchfield county area of Connecticut and surrounding areas including the Hudson Valley New York region. The philosophy of Dr. Garden is to exhaust conservative treatment measures prior to invasive surgical techniques. He has developed an extensive referral network extending throughout Connecticut and New York to participate in your care if necessary.
Our Patients
Our commitment to you includes delivering unsurpassed orthopedic spine care with superior service and convenience.
Patient Resources
Here at Litchfield County Orthopedic and Spine, we want you to be informed about your care and treatment options. Here you will find information on conditions and treatment options. You will also find information on the hospitals in which Dr. Garden performs procedures and surgery.
Patient Information
The forms are fillable PDF forms that can be done on your computer and then printed to be brought with you to the office for your visit. This will save time and allow Dr. Garden to keep on schedule for yours and other patient’s appointments.
Latest News
Read the latest news and insights from Litchfield County Orthopedic and Spine, P.C.

Back Doctor or Spine Specialist? How to Know Who to See for Lower Back Pain
This guide helps you decide whether to see a back doctor or spine specialist for lower back pain, with tips for preparation, questions to ask, and avoiding common mistakes.


Lower Back Tightness vs Nerve Symptoms: When Stiffness May Signal a Spine Problem
Learn how to differentiate between common muscular tightness and nerve-related symptoms in the lower back and when to seek medical evaluation for spine issues.


How to Properly Wear a Shoulder Sling: Orthopedic Advice
Recovering from a shoulder injury or surgery often comes with adjustments that affect even the simplest daily movements. A shoulder sling is meant to provide support and protection during healing, but wearing it incorrectly can create discomfort, strain, and unnecessary setbacks in recovery.