Madonna has returned to full health after suffering a serious bacterial infection earlier this year and is set to kick off her postponed world tour this weekend
The Vogue singer was found unconscious in her New York apartment in June and was rushed to hospital, where she received treatment for a serious bacterial infection.
The Papa Don't Preach hitmaker later said she was "lucky to be alive", and postponed the start of the sold-out Celebration Tour which had been due to start in July.
Speaking to the BBC her music director Stuart Price said: "Madonna has very high expectations of how much hard work people will put into something. It's very uncompromising - but she's equally as hard on herself.
"So when she took a break, that pause created an opportunity to further enhance the show. And I'm sure the opportunity [for her] to focus on being 100 per cent well was greatly received as well."
"Madonna's reputation is for being highly precise and highly rehearsed across all departments. When you look at a tour of this scale, it has so many moving parts, so many elements, that everything has to be highly fixed.
"But there's one thing that's always dynamic, and that's Madonna herself. Her personality is so strong, her interaction with the audience is so strong, that it creates opportunities for variation from night to night."
Madonna unexpectedly fell ill and her manager Guy Oseary confirmed that changes would have to be made for The Celebration Tour last June.
The North American leg, with stops in Detroit, Chicago, New York, Miami and Los Angeles which were supposed to happen last summer, will now follow on from the European tour.
Billed as a "one-of-a-kind experience", the tour is also set to feature special guest Bob the Drag Queen, real name Caldwell Tidicue, across all dates. The tour follows the Madame X tour, which ended in 2020.
The Grammy, Brit and Ivor Novello-winning singer, often referred to as the Queen of Pop, has reportedly sold more than 300 million records worldwide.
She was inducted into the Rock & Roll Hall of Fame in 2008.
