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Our Providers

Dr. Garden and Kayla

Mitchell S. Garden

Mitchell S. Garden, M.D., is a board-certified, orthopedic fellowship-trained spine surgeon. Dr. Garden treats patients suffering from a wide range of orthopedic illnesses and injuries in the Litchfield County area. In addition to always approaching treatment with compassion and kindness, Dr. Garden brings a rich educational background and extensive medical expertise to Litchfield County Orthopedic and Spine, P.C.

Dr. Garden received his spine surgery training at the New England Baptist Bone and Joint Hospital in Boston, Massachusetts, after attending medical school at Howard University College of Medicine in Washington, D.C. During his time at Howard University, Dr. Garden was named “Chief Resident of the Year”. 

In addition to that honor, he received other awards for his clinical skills and patient care activities including induction into Alpha Omega Alpha Honor Medical Society. While in medical school, Dr. Garden continued to consult for the liver transplant team at Howard University Hospital. Prior to his time at Howard University, Dr. Garden completed his undergraduate work at the University of Pittsburgh where he majored in Behavioral Neuroscience.

Dr. Garden is board certified since 2000 and was re-certified by the American Board of Orthopaedic Surgery in 2018.

When it comes to his medical philosophy, Dr. Garden believes in exhausting non-surgical treatment of spine disorders before proceeding on to surgery. Dr. Garden works conservatively and with minimally invasive techniques when seeking to alleviate painful spine conditions. He employs surgical techniques in only the most extreme cases. Patients of Litchfield County Orthopedic and Spine can receive treatments that range from kyphoplasty, total disc replacement, sacroiliac joint fusions, spinal cord stimulators and other less invasive spinal fusion techniques.

Dr. Garden sees the value in continuous education and stays on top of the current concepts and treatments in spinal conditions. He attends local and national conferences and maintains strong relationships within the orthopedic and medical communities at large. In addition, Dr. Garden has a genuine desire to share his knowledge with others in the medical community. As such, he is currently an instructor in the minimally invasive sacroiliac fusion technique.

Dr. Garden is a member of the North American Spine Society, the American Academy of Orthopaedic Surgeons and is a fellow of the American Academy of Orthopaedic Surgeons.  He is also a member of the Connecticut State Medical Society and Connecticut Orthopedic Society.


Kayla Germano

Kayla  Germano is a certified Physician Assistant. As a certified Physician Assistant (PA), Kayla is licensed and trained to conduct physical examinations, order and interpret tests, prescribe medications, and counsel on preventative health care. Kayla may assist in surgery and is qualified to treat and diagnose a wide variety of orthopedic conditions.  Dr. Garden carefully selected Kayla to be part of his “team” to give our patients increased access to quality care.

Born and raised in Connecticut, Kayla is a graduate of The Gunnery school in Washington, Connecticut.  She graduated from Springfield College in May 2014 with her Masters of Science and was certified by the National Commission on Certification of Physicians Assistants (NCCPA) in June 2014.