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The singer was floored when she suffered a cape malfunction at the start of her performance of ‘Living For Love’ at Wednesday night’s Brits.
Speaking on a special edition of ‘The Jonathan Ross Show’, Madge said she ended up ‘creating a horror show’ for the millions of viewers watching.
"I'm a creature of habit I rehearse everything, everything, everything,” she explained.
"I was thrown a wrench at the beginning of the performance. I was told to tie my cape and start much further back and I had to walk further and everyone was worried my cape was slide off so they tied it really tight around my neck.
"So here I am marching in like the queen, I got to the top of the stairs and I pulled the silky string and it wouldn't come undone.
"My two lovely Japanese dancers, they basically strangled me off the stage. I had two choices, I could either be strangled or fall, and I chose to fall."
When host Jonathan tried to show a clip of the moment she took a tumble, Madonna insisted she couldn’t watch.
"I don't want to see it,” she said. “Don't make me watch."
She added: "It was a nightmare, I like to be amazing, I rehearse and rehearse so when I do a show it is effortless and I create magic. I did the opposite, I actually created a horror show for everyone."
The 56-year-old star then admitted she’d actually suffered whiplash as a result of her little accident.
"I'm never writing lyrics like that again,” she said “The universe was trying to teach me a lesson.
"I didn't hurt my butt but I hurt my head. I know how to fall, I have fallen off my horse many times.
"I had little bit of whiplash, I smacked the back of my head. And I had a man standing over me with a flashlight until about 3am to make sure I was compos mentis.
"I am always nervous of live TV, when you’re singing you can't make any mistakes, the worst thing is you fall down stairs.
"I like to make my shows dangerous but then there is danger."
And there’s one thing we won’t be seeing Madonna wearing again anytime soon.
"No more capes, cape fear is over," she said.