Picture: Madonna with her adopted son, David Banda, out and about in Manhattan New York City, USA - 28.03.09
Madonna is paying the price for her gruelling exercise regime - she's reportedly nursing a twisted ankle after falling off a treadmill.
The Holiday hitmaker is in Malawi awaiting a hearing on Friday (03Apr09) on whether she'll be given the green light from government officials to adopt four-year-old girl, Mercy James.
The fitness fanatic demanded that gym equipment be brought into the Kumbali lodge where she has been staying since the weekend (28Mar09).
But a trek on the running machine turned nasty after she took a high-speed stumble, according to Britain's The Sun.
A worker at the lodge tells the publication, "There was a bang and she came suddenly flying off the back of the machine. She looked hurt."
Madonna was allegedly ordered to rest her injured ankle and was forced to pull out of a planned visit to an local orphanage.
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