It’s pretty common knowledge that wrestling is fake. But just because the storylines aren’t real, that doesn’t mean that the injuries are fake, too. Turns out, slamming someone into the ground over and over again can cause some pretty gnarly scrapes and breaks.

Just ask Nikki Bella, who says that during Monday Night Raw, she got slammed so hard that her implant migrated down to her ribs. In a podcast episode, she claims that an “elbow drop” from Piper Niven forced the implant downwards, and as a result, she had to go to the doctor and get them looked at.

Fortunately for her, Bella says the injury is fixable and that she plans to resolve the issue by getting new and improved implants — though, for the time being, she says she has difficulty laughing and coughing.