Why do your feet feel hot at night, for instance? “You may have a strong desire to cool your feet, but then have your feet feel much worse when they get warm,” she adds. But in the meantime, here are some of the possible reasons your feet feel hot at night. Hormonal changes“Other causes of hot feet, such as hormonal changes with menopause, may not be related to nerve damage at all,” says Dr. Cutler. Warm environment“Sometimes there is no disease condition whatsoever” that’s making your feet feel hot, says Dr. Cutler.