Billy Joel Says Stage Return Hinges on Further Medical Testing

Billy Joel remains uncertain when — or whether — he will be able to return to the concert stage as he continues undergoing treatment for normal pressure hydrocephalus.

Asked about performing again in an interview published Thursday, Oct. 15, the 77-year-old musician said he must complete additional medical evaluations before receiving an answer.

"I have to take a series of tests before I know," Joel said. He added that he is currently prohibited from driving and performing under his neurologist's instructions.

According to Joel, his neurologist compared the physical strain of playing a concert to sustaining a concussion. The volume, lighting, stress, audience, and energy involved in a rock show can aggravate his condition, leaving him unable to perform safely for now.

Joel announced his diagnosis in May 2025 and canceled every concert remaining on his schedule. At the time, his representatives said recent performances had worsened problems involving his hearing, vision, and balance.

Normal pressure hydrocephalus occurs when cerebrospinal fluid accumulates in the brain’s ventricles and begins affecting brain function. Symptoms can include changes in walking, slowed mental function, memory problems, and loss of bladder control. Treatment frequently involves surgically implanting a shunt to redirect the excess fluid.

Joel recently revealed that he underwent the shunt procedure and has experienced improvements in his memory, balance, and general functioning. Although he described his current health as good, balance problems remain, and no timetable has been established for a return to full concerts.

The interview arrived as Joel prepares to auction more than 70 motorcycles from his personal collection. The Nov. 20 and 21 sale will benefit The Joel Foundation, which supports music education, public health, humanitarian causes, and environmental programs.