David is in a terrible state (Ps 38:5-38:8)

“My wounds grow foul.

My wounds fester.

Because of my foolishness,

I am utterly bowed down.

I am utterly prostrate.

All day long I go around mourning.

My loins are filled with burning.

There is no soundness in my flesh.

I am utterly spent.

I am utterly crushed.

I groan

Because of the tumult of my heart.”

David or the psalmist was in bad shape. His wounds were growing more rank. They festered in his body because he had been foolish. He was knocked down and prostrate. Every day, all day long, he was in mourning. He had burning loins. As stated above, his body was not sound. In fact, he was utterly spent and crushed because of his sorrowful heart.