Persistent burning pain at the top of the foot may be caused by a variety of conditions and is treated based on the underlying medical condition. Peripheral neuropathy or nerve damage is usually treated symptomatically, using medicines such as gabapentin, amitriptyline, desipramine and topiramate to reduce the pain, according to WebMD. General painkillers such as acetaminophen and nonsteroidal anti-inflammatory drugs such as ibuprofen may also be prescribed to control the pain caused by burning feet, reports WebMD.
Diabetic neuropathy causes burning pain in several areas of the foot and can be treated by lowering the blood sugar by making dietary changes or by a course of oral or injected insulin, states WebMD. Anterior tarsal tunnel syndrome is another cause of burning or tingling pain at the top of the foot and is treated by relieving the pressure on the deep peroneal tendon by padded footwear and stretching exercises, explains Baylor Scott & White Health of Texas. In some cases, surgery may be the only treatment available.
Burning sensations caused by athlete's foot or other fungal infections can be treated by the administration of over-the-counter antifungals such as terbinafine or miconazole and prescription drugs such as fluconazole and naftifine, notes WebMD. Burning feet caused by alcoholism and vitamin B-12 deficiency are treated by abstinence from alcohol to improve healing and the administration of oral or injectable forms of vitamin B-12, respectively, notes WebMD.