New nerve pain in feet, like needle sticks or burning, no diabetes, could it be autonomic?

See a neurologist: Needle sticks or burning is somatic sensory. The autonomic nervous system, also called the visceral system, serves as the functional division of the peripheral nervous system and controls cardiac and smooth muscle, blood vessels and most glands. Examples: local autonomic effects such as lacrimation, edema and skin flushing. see your neurologist for evaluation and diagnosis.

Dry skin: An example of autonomic neuropathy in the feet is excessive dryness of the feet, for example.