@dcdusek Thanks for your response. It is possible that scar tissue is the issue from both the skin on the inner thigh and the prior surgeries. That will create scar tissue in the fascia which is a connective tissue network that permeates everything in your body. Are you describing scar tissue that might appear indented when you say it has atrophied?

If all of the fascial scar tissue is too tight, it pulls and creates pain. You might be interested in our Myofascial Release discussion. If you read through the first pages, there are lots of links with information. Other patients have joined the discussion in later pages. There is a provider search on the myofascialrelease.com website. MFR can treat and loosen scar tissue. Finding an expert in the John Barnes techniques is essential.
https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/
Does this sound like it may be able to help?