After spraining her left ankle the singer may have to postpone festivities.
She had planned to host a lavish do for around 50 select guests at her country estate in Wiltshire, but the Material Girl is now set to push back her party by nearly two weeks.
Guests will include officials from Malawi who helped with her adoption of David Banda.
We're told: "Plans are very hush-hush but Madonna is definitely going to celebrate her milestone in style.
"Unfortunately not everything has gone as expected as she's had many other things on her mind - not least rehearsals for her Sticky And Sweet tour. On top of all the stress of this, she twisted her ankle over the weekend. She views this as a sign that perhaps she should postpone the formal birthday bash and play it by ear instead.
"Madonna now reckons it'll go ahead during a three-day break in the tour towards the end of the month, not next weekend.
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