Commentators unanimously highlight the profound connection between spiritual and physical health. David's "silence"—his refusal to confess his sin—led to an inner turmoil so intense that it felt like his very bones were aging and wasting away. This illustrates that unconfessed sin is not a silent, private matter; it can manifest as physical exhaustion, emotional anguish, and a feeling of being utterly drained, like a land in a drought.