The legendary musician shares insights on his health and future performances after battling normal pressure hydrocephalus
Category: Arts & Culture
Billy Joel, the iconic 77-year-old musician, has provided fans with an update on his recovery from normal pressure hydrocephalus (NPH), a brain disorder that has sidelined him from touring for over a year. In a recent interview on SiriusXM's "The Billy Joel Channel," he revealed that doctors warned him his loud rock concerts were effectively causing concussions each time he performed.
Joel's last full concert took place on February 22, 2025, at the Mohegan Sun Arena in Uncasville, Connecticut, where he fell during his performance of "It’s Still Rock and Roll to Me." Following that incident, he announced his diagnosis three months later and canceled a series of concerts scheduled across North America and England, totaling 17 shows.
In the interview, Joel described the initial signs of his condition as a persistent feeling of instability, saying, "I wasn’t steady on my feet," and likening the sensation to rocking on a boat. After consulting with a neurologist, he was diagnosed with NPH, a condition characterized by the buildup of cerebrospinal fluid inside the skull.
Initially, Joel was hesitant about undergoing a surgical procedure to implant a shunt that would drain excess fluid from his brain. He said, "I balked at the idea," but after researching the procedure, he recognized its potential benefits. "I realized it can help improve your balance and can help your memory," he explained. "You know, I don’t want to lose my marbles."
Following the surgery, which he agreed to after weighing the risks and benefits, Joel reported positive outcomes. He stated, "My memory got a little bit improved, my balance got a little bit improved, my ability to function was a little bit improved." This progress has been encouraging, yet he remains cautious about returning to the stage.
Doctors have advised him to refrain from performing during his recovery, emphasizing that the strain of loud concerts could exacerbate his condition. Joel acknowledged their concerns, noting, "The doctors told me because of my job, which is playing rock and roll music very loud, that it was giving me something like a concussion every time I did a show. It was causing damage to my brain nerves and I could be losing more brain cells the more shows I did."
Normal pressure hydrocephalus is often misdiagnosed or overlooked, as its symptoms can mimic those of dementia, including memory loss, balance issues, and difficulty concentrating. According to the Cleveland Clinic, early diagnosis can lead to effective treatment, and in some cases, the condition is reversible. This shows the value of awareness around NPH, especially for individuals in high-impact professions such as music.
Joel's diagnosis and subsequent health challenges have resonated with fans and the music community alike, drawing attention to the physical toll that performing can take on artists. His decision to prioritize his health over touring reflects a growing acknowledgment among performers about the need to care for their well-being.
Since his diagnosis, Joel has made only sporadic public appearances. He performed live once on January 2, 2026, when he joined a Billy Joel tribute band in Wellington, Florida, for a couple of songs, including "We Didn’t Start the Fire" and "Big Shot." Though this brief performance was a highlight for fans, it also underscored the uncertainty surrounding his return to full-time touring.
As of now, there is no definitive timetable for Joel's return to regular live performances. He continues to undergo physical therapy and is following his doctors' advice closely. The singer expressed his desire to remain active in the public eye, reassuring fans by stating, "I just want people to know, don’t worry about me. I’m not going anywhere. I’m here. I’m still here."
Joel's commitment to recovery and his candidness about his condition serve as a reminder of the challenges faced by many artists. His story may inspire others dealing with similar health issues to prioritize their well-being and seek appropriate treatment.
Fans are eagerly awaiting news of his next steps, hoping for a return to the stage that has defined his legendary career. For now, Joel remains focused on his recovery, expressing gratitude for the support he has received. As he continues to heal, the music world watches closely, anticipating the day when the Piano Man will once again grace the stage with his iconic presence.