Western Bay bedroom moves have clocked up more than $400,000 in injury costs during the past three years.
Figures released to the Bay of Plenty Times show nearly 300 ACC "bed-related" injury claims were recorded between 2010 and 2012.
Adventurous bedroom antics backfired for some kinky Kiwis, with 23 national claims featuring the word "sex" and a local physio says some Bay residents have also put their backs out during activities after-dark.
Chris Butler, of Mount Physio and Pilates, said tripping over sheets was the most common cause of injuries in the bedroom.
But people have presented with dislocated shoulders and back sprains "from that other activity that happens in there", he said.
A Welcome Bay reader, who spoke on condition they were not named, knows just how dangerous that activity can be.
"I had just met my partner so I guess you could say we were in that first love phase. We were being quite active one afternoon in bed and I raised my head just at that same time he lowered his head. We banged heads quite hard.
"It hurt a little but I was caught up in the moment so carried on, but then noticed blood everywhere the blow had split my eyebrow. I was a little alarmed at all the blood it was spurting out everywhere and so was he. Luckily I didn't have to have stitches so no lasting scar, though we do have a giggle at the memory."
According to ACC, the injury claims included "tripping over the bed", "hurting back while making the bed", and "falling off the bed".
Top bed-related injuries were sprains, strains, fractures and dislocations. However, high numbers of lacerations, punctures and even stings in the bedroom were recorded.
Previous ACC data showed New Zealanders were particularly mopey in the mornings, with nearly 150 people each week injuring themselves getting out of bed in 2011.
Mr Butler said Bay locals also hurt themselves while getting dressed and making the bed.
"It's a twisting motion like reaching across the bed.
"People also get their legs caught in their trousers and fall over."
David Wellington of Greerton Chiropractic said the statistics were a fair representation of what he saw.
"It might be hard to believe but it's not uncommon."
Moving beds and bending over to make beds puts pressure on the spine and can lead to injury, he said.
"ACC claims related to foot and toe injuries are usually from kicking their toe on the end of the bed, nearly everyone's done that."
There were a whole host of reasons for the spine related injuries, he said.
"Typically you're starting up in the morning. You're not particularly warm, you're not concentrating on what you're doing, you're not in a good lifting position, you're in a hurry there's a whole gamut of things that can happen to you."
As for sex-related back injuries, Mr Wellington said that was one thing he had yet to encounter.
Nationally, more than $5 million was paid out for bed-related injuries between 2010 and 2013 representing more than 6500 claims.
While specific causes of bed-related injuries were not recorded in claims data, ACC spokeswoman Stephanie Melville estimated most related to falls in the bedroom.
Slips, trips and falls accounted for nearly half of all home injuries, ACC data showed.
"Around 280,000 Kiwis were injured in home falls last year," Ms Melville said.
"Ten-thousand people were off work for more than a week [and] 2500 were off work for three months or more."
Injuries in the bedroom and around the home could cause major problems, she warned.
"They can disrupt family plans, cause tensions in relationships and put pressure on households having to survive on a reduced income.
"It's also worth remembering that falls not only cause physical pain but can have a wider cost to families, employers and the economy."
Bed-related injuries
2010: Western Bay 90; NZ 1983;
2011: Western Bay 115; NZ 2282
2012: Western Bay 90; NZ 2302
Cost of Claims
2010: Western Bay $166,846; NZ $1,789,808
2011: Western Bay $164,052; NZ $1,875,201
2012: Western Bay $85,600; NZ $1,458,400