Legendary singer-songwriter Billy Joel has opened up about a personal and medical challenge: a diagnosis of Normal Pressure Hydrocephalus (NPH)—a rare neurological condition often misdiagnosed as dementia. In a candid interview with comedian Bill Maher, the 76-year-old icon discussed how the illness has impacted his balance, daily life, and decision to pause live performances.
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Billy Joel Shares His Health Struggles
While speaking with Maher, Joel explained that although he “feels fine,” he has been struggling with persistent balance issues, describing the sensation as “being on a boat.” He revealed that doctors diagnosed him with Normal Pressure Hydrocephalus, also known as “water on the brain.”
“They call it a brain disorder, so it sounds really bad,” Joel shared. “But I feel okay — it’s the balance that’s the issue.”
What Is Normal Pressure Hydrocephalus (NPH)?
Normal Pressure Hydrocephalus is a condition caused by an abnormal buildup of cerebrospinal fluid (CSF) in the brain’s ventricles, increasing pressure and leading to symptoms such as:
- Trouble walking or balancing
- Memory problems
- Urinary incontinence
Though often seen in individuals over age 65, it is frequently misdiagnosed as Alzheimer’s or Parkinson’s disease. According to Yale Medicine, over 700,000 Americans may suffer from NPH, but less than 20% are accurately diagnosed.
Reflecting on His Lifestyle and Diagnosis
Billy Joel also addressed speculation about the cause of his condition, acknowledging past struggles with alcohol.
“I used to drink like a fish,” he said, but emphasized that his current symptoms are medical, not lifestyle-related.
He is currently undergoing physical therapy and following medical guidance to manage his symptoms.
Concert Cancellations and Fan Support
In May 2025, Joel canceled several scheduled performances due to the worsening of symptoms including balance, hearing, and vision issues. While expressing regret over the cancellations, he thanked his fans for their understanding and continued support.
A Message of Awareness and Hope
Billy Joel’s openness has brought significant attention to NPH, a condition that is treatable—and in some cases, reversible—if diagnosed early. His story highlights the need for increased awareness, accurate diagnosis, and access to care for those experiencing similar neurological symptoms.
Conclusion: Healing, Hope, and a Possible Return
As Billy Joel continues his journey toward recovery, fans remain hopeful for his eventual return to the stage. More importantly, his story sheds light on a rare but impactful condition that affects thousands and is often overlooked.
We wish Billy Joel strength, healing, and support as he navigates this new chapter in life.