The 75-year-old musician is being treated for a rare and often misdiagnosed neurological condition that can mimic dementia.
Iconic pop musician Billy Joel has canceled all upcoming dates on a summer 2025 tour as he undergoes treatment for normal pressure hydrocephalus, a neurological condition that affects the brain and can cause issues with balance, vision, and cognition.
The 75-year-old singer shared the news on Instagram Friday, noting that recent performances had worsened symptoms including hearing, vision, and balance problems. Joel’s medical team has advised a pause in touring while he participates in targeted physical therapy.
Joel, best known for hits like Piano Man and New York State of Mind, said he was “sorry to disappoint” fans. “While I regret postponing any shows, my health must come first,” Joel said in a statement. “I look forward to getting back on stage and sharing the joy of live music with our amazing fans,” he wrote, adding that he was “expected to make a full recovery.”
The announcement comes two months after the artist postponed several shows following surgery, at the time citing a need to recover under the supervision of his doctors.
What is NPH?
NPH is a rare but potentially treatable condition in which excess cerebrospinal fluid builds up in the brain’s ventricles, causing pressure that can disrupt normal brain function. Fewer than 3 percent of adults over age 65 are diagnosed with NPH, according to Yale Medicine, and the condition can often be overlooked or misdiagnosed.
Though symptoms often resemble other forms of dementia, NPH is distinct — and when diagnosed early, it can sometimes be reversed or significantly improved through surgical intervention such as a shunt.
According to Johns Hopkins, symptoms of normal pressure hydrocephalus might include:
- Mobility symptoms including gait changes, balance issues, falling, and trouble walking (feeling like one’s feet are stuck to the ground)
- Cognitive symptoms including forgetfulness, confusion, and difficulty responding to questions
- Mood changes
- Depression
- Bladder control issues
Seventeen shows in total have been canceled, including eight previously rescheduled dates. Ticket holders will receive automatic refunds, per Joel’s statement. There is no word yet on if or when he plans to return to the stage.
Image: The album cover for Billy Joel’s 1977 album The Stranger.
