en_tn_condensed/psa/109/022.md

oppressed and needy

These two words have similar meanings and emphasize that he is unable to help himself. (See: rc://en/ta/man/translate/figs-doublet)

my heart is wounded within me

Here David speaks of being in great despair as his heart being wounded. Alternate translation: "I am full of grief and despair" (See: rc://en/ta/man/translate/figs-metaphor)