Photos taken of Phil Collins have shown him looking frail as he was pushed around in a wheelchair a day before he fell on stage during his tour.
The 68-year-old was helped into a wheelchair by an assistant as he emerged from his chauffeured car.
Phil is part way through his Still Not Dead Yet Live! tour in America, which he is powering through despite suffering from extreme back pain.
The former Genesis drummer suffered a fall on Sunday, while performing on stage at the Spectrum Center in Charlotte, North Carolina. As his 18-year-old son Nicolas performed a drum solo, his chair fell backwards, according to The Daily Mail.
The audience looked on in shock as he fell and was helped back up by crew members,
In 2011, Phil revealed that he was retiring from music after he was left unable to play the drums due to nerve damage. However he later announced he was going back on tour.
He was then taken to hospital in 2012 after his battle with drinking raised concerns for his state of mind and well-being.
In 2015 he had to have major surgery on his back and has been using a walking stick or wheelchair ever since.
In late 2016, he announced he'd be returning to the stage, though he wouldn't be playing drums during the act. Instead he said he would need to use a cane - now he often sits down while singing.
Fears for his health were raised again in 2017 when the star was rushed to hospital again following a nasty fall after his London concerts, according to The Sun.
The singer had allegedly tripped over a step in his hotel room following his show, hitting his head. The newspaper adds that he was taken to hospital with a badly gashed head and was forced to cancel his subsequent shows.
A statement to the news outlet at the time said: "Phil suffers from 'drop foot' as a result of a back operation which makes it difficult to walk.
"He rose in the middle of the night to go to the toilet and slipped in his hotel room, hitting his head in the fall on a chair.
"He was taken to hospital where he had stitches for a severe gash on his head close to his eye and is recovering well. He will be kept under observation for 24 hours.
"Phil sends his sincere apologies and thanks to fans. He has had a fantastic week at his first shows in ten years, cannot thank people enough for their warm reaction and is excited to return."
None of the star's upcoming shows have been cancelled so far. Hope you're doing OK, Phil LAD.