Pop star Madonna has suffered "minor injuries" and bruises after falling from a startled horse on New York's Long Island on Saturday.
According to her spokeswoman, the 50-year-old singer fell when her horse was "startled by paparazzi who jumped out of the bushes" to photograph her.
Madonna was treated at a hospital in Southampton and was later released.
A previous horse-riding accident in 2005 left her with three cracked ribs, a broken collarbone and a broken hand.
She got back on a horse a couple of months later for an appearance on David Letterman's US talk show.
Madonna was visiting friends in the Hamptons when the accident occurred, her spokeswoman Liz Rosenberg said in a statement.
The singer would be having further tests and remained under observation by doctors, she added.
According to a local newspaper report, Madonna had been performing jumps and wearing a helmet when the accident occurred.
The entertainer recently returned from Malawi after her bid to adopt a second child from the country, three-year-old Chifundo James, failed.
Her lawyer has lodged an appeal against the judge's ruling.