The short answer is possibly. Not all burning in the feet is a sign of neuropathy, however. If there is a burning or hot sensation noted under the ball of the foot or feet, not present when you get up in the morning but noticed after being on your feet for some time, then this may be a sign of other problems and not neuropathy.
Recently we have seen patients coming into the office with this complaint stating they have neuropathy and their M.D. and at times the neurologist, after being given many different types of medications with no relief, state there is nothing else that can be done. Upon examination in our office, some of these people have problems with tight muscles in their legs causing them to compensate for this by over pronating their feet which results in increased pressure and friction to the balls of the feet resulting in the burning feelings. By placing a pad on their foot to remove the pressure, we can see if their symptoms decrease. If the sensations do decrease then conservative care with orthotics has been helpful along with stretching exercises.
If you are having nerve problems in the lower extremities, give Harvey R. Danciger, DPM a call at 760-568-0108.