Billy Joel, the renowned singer-songwriter, has attributed his diagnosis of normal pressure hydrocephalus (NPH) to the cumulative effects of performing loud rock concerts throughout his career. Doctors informed Joel that the high volume of his performances likely caused damage to his brain nerves, akin to sustaining a concussion with each show.
In May 2025, Joel, 77, disclosed his NPH diagnosis, a condition that can affect vision, hearing, and balance. He described experiencing a persistent rocking sensation and unsteadiness, prompting him to seek medical evaluation. Following his diagnosis, he underwent surgery to implant a shunt in his brain, a procedure aimed at draining excess cerebrospinal fluid that builds up and pressures the brain.
Joel detailed his recovery and the reasoning behind the surgery on his SiriusXM show, "The Billy Joel Channel." He stated that his medical team advised him that NPH could be progressive and encouraged the surgical intervention. Initially hesitant about having a shunt implanted, Joel decided to proceed after learning it could improve his balance and memory, expressing a desire not to "lose my marbles."
He reported that the surgery has led to improvements in his memory, balance, and overall ability to function. The musician acknowledged that distinguishing between the effects of aging and his medical condition can be challenging, but he is committed to following his doctors' recommendations, including physical therapy, to manage his health.
Previously, Joel had to postpone several concerts due to an unspecified medical issue. His team released a statement at the time indicating that the condition was exacerbated by recent performances, leading to sensory and balance problems. He was advised to refrain from performing during his recovery period.
NPH is a neurological disorder most commonly affecting individuals over 65. It occurs when cerebrospinal fluid accumulates in the brain, increasing intracranial pressure. The standard treatment involves surgical implantation of a shunt system to divert the excess fluid. Joel has also spoken about the condition on Bill Maher's "Club Random" podcast, where he noted that while he feels generally well, his balance remains significantly impacted.