The psalmist begins with a plea: Lord, hear my prayer, do not hide your face from me, incline your ear on the day I call. Then he describes his suffering: his days vanish like smoke and his bones burn like a furnace. His heart is struck down like grass and he forgets to eat. Because of his groaning his bones cling to his skin. He is like an owl of the wilderness and like a lonely bird on the housetop. His enemies taunt him all day, he eats ashes like bread and mingles his drink with tears, because he feels God's indignation.
In verse 12 the contrast appears: but you, O Lord, are enthroned forever. From there hope arises for Zion: God will rise and have pity on her, for the appointed time has come. The nations will fear his name, the Lord will build up Zion and he will regard the prayer of the destitute. This will be written for a generation to come, and a people yet to be created will praise the Lord.
Verses 23 and 24 return to personal lament: the Lord has broken his strength and shortened his days, and he begs not to be taken away in the midst of his days. But God endures through all generations. The heavens and the earth are his work, and they will perish like a worn garment; God remains, and his years have no end. The children of his servants will dwell secure.