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70-year-old Phil Collins is back in his element as the Genesis reunion tour kicks off in Birmingham

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Phil Collins stayed on Monday night as Genesis’ The Last Domino? reunion tour kicked off in Birmingham amid the singer’s health issues.

On stage at the city’s Utilita Arena, the talented musician, 70 – who has suffered from health problems in recent years – remained in his chair throughout the show.

The I Can’t Dance hitmaker leaned against a mic stand while performing his best-loved hits during his band’s first live performance since their Turn It On Again Tour thirteen years ago.

Talented: Phil Collins was back in his element as Genesis’ The Last Domino on Monday night? reunion tour continued in Birmingham

It follows a BBC Breakfast interview earlier in September in which he confessed that he was no longer able to play the drums.

Twitter was awash with concerns from viewers and fans, who noted his debilitated condition when interviewed about Genesis, saying, “No. [I can’t still play the drums]. I would like. But I mean, I can barely hold a stick with this hand.’

The star’s health issues have been well documented in recent years and he has been seen using a wheelchair after back surgery after falling in his bathroom in 2017 and several mobility issues followed.

Main: On stage at the city's Utilita Arena, the talented musician - who has suffered from health problems in recent years - stayed put for the entire show

Support: The I Can't Dance hitmaker leaned against a microphone stand as he performed his most beloved hits

Main: On stage at the city’s Utilita Arena, the talented musician, 70 – who has suffered from health problems in recent years – stayed put for the entire show

Comeback: It was the band's first live performance since their Turn It On Again Tour thirteen years ago

Comeback: It was the band’s first live performance since their Turn It On Again Tour thirteen years ago

He attended his daughter Lily’s wedding to Charlie McDowell last weekend, but it’s unclear when the BBC interview was taped.

On the screen he said: “I’m a bit physically challenged which is very frustrating because I would love to play with my son there…

‘New [I can’t still play the drums]. I would like. But I mean, I can barely hold a stick with this hand. There are certain physical things that get in the way…

Shockingly, the show follows a BBC Breakfast interview earlier in September in which he confessed that he was no longer able to play the drums.

Shockingly, the show follows a BBC Breakfast interview earlier in September in which he confessed that he was no longer able to play the drums.

“We’re all men our age, and to some degree I think it’s likely you’ll put it to bed. I think yes, I just think in general for me, I don’t know if I still want to hit the road.’

Twitter users wrote: ‘Saw Phil Collins on TV this morning and he looked really old, that’s kinda sad isn’t it…Shocked and sad to see #PhilCollins’ physical health and wish I could #Genesis’ Put to Bed’ UK could see tour…

“I first fell in love with Genesis in the mid-’80s as a teenager, and grew into Phil Collin’s unique multi-gifted musical genius as a solo artist. Come to Bristol or Cardiff….

‘I saw Genesis interviewed on the box this morning, Phil Collins isn’t looking too good…I just watched the #Genesis piece on ‘@BBCBreakfast, Phil Collins is looking really bad…’

Concern: Fans flooded Twitter with tweets about the appearance

Concern: Fans flooded Twitter with tweets about the appearance

Changes: On screen he said 'I'm a bit physically challenged which is very frustrating as I would love to play with my son there'

Changes: On screen he said ‘I’m a bit physically challenged which is very frustrating as I would love to play with my son there’

“I just saw Phil Collins on TV who looked so weak he can no longer hold a stick to the drum. He was singing at a concert how sad this is…

‘Aww just saw Phil Collins on BBC breakfast. He doesn’t look good at all… Just saw Genesis on the news. Phil Collins looks and sounds really unwell…

Gosh Phil Collins doesn’t look too good (sorry), bless him, I hope they don’t just use him for another tour. I’m not sure if it’s a good idea. Please watch out Phil. I send my love to you.’

Health: 'No' [I can't still play the drums].  I would like.  But I mean, I can barely hold a stick with this hand.  There are certain physical things that get in the way'

Health: ‘No’ [I can’t still play the drums]. I would like. But I mean, I can barely hold a stick with this hand. There are certain physical things that get in the way’

Congrats!  He attended his daughter Lily's wedding to Charlie McDowell over the weekend, but it's unclear when the BBC interview was filmed.

Congrats! He attended his daughter Lily’s wedding to Charlie McDowell over the weekend, but it’s unclear when the BBC interview was filmed.

MailOnline reached out to a Phil representative for comment at the time.

In April 2009, Phil underwent surgery to repair dislocated vertebrae in his upper neck, which happened while drumming on the 2007 Genesis tour.

In a tragic turn of events, the surgery left him with loss of feeling in his fingers and could only hold drum sticks if they were stuck to his hands.

In 2010, Phil stated that he was suffering from depression and had even debated suicide, but stopped himself from thinking about his children.

Long ago: Phil is pictured with wife Jill Tavelman and daughter Lily Collins in 1991

Long ago: Phil is pictured with wife Jill Tavelman and daughter Lily Collins in 1991

Four years later, he revealed that he still couldn’t play the drums well because of an undiagnosed nerve problem rather than arthritis.

In 2015, he underwent spinal surgery and the following year announced that he still could not drum with his left hand. Doctors said he could play again, but only with step-by-step practice.

In January 2017, the iconic hitmaker revealed he is type 2 diabetic and had undergone hyperbaric chamber treatment after developing an infected diabetic abscess on his foot.

Phil announced his comeback tour in October 2016 after retiring.

Concerned: His fans were concerned after the performance

Concerned: His fans were concerned after the performance

The musical icon planned to kick off his return with five nights at London’s Royal Albert Hall, with tickets to the shows selling out in under 15 seconds. But after a fall on the way to the bathroom a year later, the British singer was forced to cancel.

In the hotel room, he hit his head on a chair when he fell, and had to have stitches for a serious cut near his eye

At the time, a statement was released which read: “Phil is suffering from drop foot as a result of back surgery that has made walking difficult.” Since then, his mobility and health problems have persisted.

Throwback: Phil looked healthier when pictured in 1984

Throwback: Phil looked healthier when pictured in 1984

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