Phil Colllins was being pushed along in a wheelchair just a day before he suffered a fall while onstage.
The Genesis rocker, 68, was seen being helped along by an assistant after getting out of a chauffeur-driven car ahead of his gig in Charlotte, North Carolina, at the weekend.
He fell backwards off his chair while watching his son Nicolas, 18, do a drum solo at his Not Dead Yet show at the Spectrum Center on Sunday.
In footage of the accident the crowd is heard screaming in shock as Phil falls on his back while aides rush to help him.
But the show continued and he is doing more gigs this week.
His tour of the US is still scheduled to go ahead, despite the singer suffering from debilitating back pains.
Phil announced his retirement in 2011 after nerve damage left him unable to play the drums.
But he soon announced a return to music and was back on stage in 2014.
He was admitted to hospital in 2012 at the height of his drinking problem.
In 2017 he was forced to cancel two of his London shows when he was rushed to hospital after he slipped in his hotel room.
He tripped over a step in his bedroom and gashed his forehead, The Sun reported.
It was understood that he had to have surgery on his forehead following the accident.
Before that he had been performing onstage with a cane.
Source: Zim Eye