Billy Joel’s Daughter Alexa Ray Joel Reacts to His Health Diagnosis with Nod to Lyrics from a Song He Wrote for Her

Billy Joel’s daughter Alexa Ray Joel is reacting to his health diagnosis.

The “Piano Man” singer, 76, announced on Friday, May 23, that he will be canceling all scheduled concerts following a recent diagnosis of normal pressure hydrocephalus (NPH), a condition where excess cerebrospinal fluid builds up in the brain ventricles.

A day later, on Saturday, May 24, Alexa, 39, honored her father with a tribute shared on Instagram. “SOUND UP 🕊️ We love you and we got you, Pop!” she began her caption, sharing a black and white photo of artwork that depicted a dad holding his young daughter’s hand.

“I just wanted to thank you all for the beautiful outpouring of love and support amid the recent news of My Father’s health diagnosis,” Alexa, who Billy shares with ex Christie Brinkley, continued. “My Dad is the strongest and most resilient man I’ve ever known … and he’s entirely committed to making a full recovery with ongoing physical-therapy treatments as he continues to regain his strength.”

“The genuine care, empathy, and concern from everyone means so much to him … it means a lot to me, too,” she added, concluding her caption with the lyrics from “Lullabye (Goodnight, My Angel)” — a song Billy wrote for her that was released on his 1993 album River of Dreams.

“‘Someday We’ll All Be Gone / But Lullabies Go On And On / They Never Die / That’s How You And I Will Be.’ ⚓️ The music continues… 🕊️ All My Love, Alexa Ray,” she wrote.

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According to a statement obtained by PEOPLE that was then posted on his Instagram, Billy’s NPH has been made worse by recent concert performances, leading to problems with his hearing, vision and balance.

The star — who is also a dad to daughters Della Rose Joel, 9, and Remy Anne Joel, 7, with wife Alexis Roderick — is undergoing specific physical therapy under his doctor’s instructions. He has also been “advised to refrain from performing during this recovery period.”

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Billy, the statement said, is “thankful for the excellent care he is receiving and is fully committed to prioritizing his health. He is grateful for the support from fans during this time and looks forward to the day when he can once again take the stage.”

“I’m sincerely sorry to disappoint our audience, and thank you for understanding,” Billy added.

Billy’s now-canceled concert dates include his shows in New York City this summer, along with performances in New Orleans, Toronto, Santa Clara, Salt Lake City, Washington, D.C. and Liverpool.

Fans who planned to attend the shows won’t need to take any action to receive their refund, as they will be automatically processed back to the original form of payment used.

The concert cancellations came months after Billy fell during a concert at Mohegan Sun in Connecticut in February. 

The following month, the musician announced that he would postpone his concerts through June, citing a “medical condition” that required him to “undergo physical therapy under the supervision of his doctors.”

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Billy has had an illustrious career over the years. The star won five Grammys and been nominated 23 times, he has sold more than 150 million records and has had 33 Top 40 hits and he was inducted into the Songwriters Hall of Fame in 1992 and the Rock & Roll Hall of Fame in 1999.

He played his final Madison Square Garden concert as part of his record-breaking 10-year residency in July 2024, marking his 150th show at the venue.