I have been using trekking poles for about 3 months now. For me the jury is still out. I have the GG Lightrek 4's so the weight is minimal. To be honest, I think they slow me down. But some of that maybe the technique. There is some more reading and research I need to do, especially on the Nordic Hiking method I have seen posted here recently.
However they are handy for setting up a tarp, and often there are no trees for me to use for this purpose.
Prior to my trekking pole experiment, I had used a hiking staff for decades. I don't feel the staff assisted me that much either. But out of habit, the staff really helped my rhythm while walking, and I liked the fact I could switch it from hand to hand. Plus the staff has a camera mount. I feel much more comfortable hiking with a staff, because I have been doing it for 40 years or more. But it really isn't an aid to help me hike in most situations.
Both the poles and the staff are nice for leaning on when momentarily resting on steep elevation gains.
Now for how much they help on downhills. First, if you have problem joints, I suppose they would be helpful. But maybe they are just a band-aid covering a root cause for many hikers.
Some joint problems probably cannot be repaired without serious intervention, such as surgery. On the other hand, maybe conditioning and other factors play an important role for many hikers. Over the years, I have found that the heavier the footwear, the more likely I am to slip, trip, and have other problems. Of course the heavier your pack, the heavier your footwear needs to be.
For the past year or so, I have been experimenting quite a bit with some extremely light shoes, which have almost zero support. These are racing flats. We are talking about shoes in the 6 oz range. But they do not last as long as trail runners or boots.
I have also been running and hiking in a barefoot shoe, the Vibram five-fingers which are expensive. I have pretty much decided the five-fingers or other barefoot footwear is not my solution for hiking with a pack in varied terrain. However they are a good solution for training runs. If I had a grassy park to run in, I would probably run barefooted for my training.
The barefoot shoes (or you could run barefooted), force your brain and body to run on the balls of your feet. Heel strikes become too bone-jarring and painful. This switch is not conscious. Now when you start running or hiking on the balls of your feet, the arches and other parts of the foot start to absorb the impact, and the calf muscles are doing more work, taking on some of the work the upper leg muscles had been doing. Actually landing on the balls of the feet shouldn't be called impact, because it is morelike using your legs as springs. This is obvious after running for awhile, because the arches and calves are sore after running or walking a lot in barefoot mode; even if you are in good running shape. But after a while the soreness goes away as you get your feet and calves into shape. Also the impact of striking the ground feels "springy" and lighter, than with a heel strike. All of this takes time.
As a result of all these 'quasi-scientific' statements I have made, hiking in extremely light shoes and training as I have, has made me as surefooted as a mountain goat. I never trip or slip any more. Going down hill I feel agile and comfortable, and I move much faster now. The trekking poles get in my way, so I just carry them parallel to the ground most of the time.
They last item we should probably consider is our overall physical conditioning. Genetically, I am fortunate that I have a higher metabolism than most. I also have a lifestyle that allows me to make time for physical exercise several times a week all year round. So I am tall and skinny. That means I can carry lighter clothes, a smaller sleep system, less water, and less food than most people. All of this is conducive to lighter packs and lighter shoes.
I am going to continue to use the trekking poles the rest of this year. Maybe they will prove to be helpful. Maybe dialing into hiking technique will prove them to be a real asset. But right now, I feel that regular exercise and lightweight shoes are more important. Who knows, maybe in December I will dump the trekking poles and get a couple carbon fiber poles for my poncho/tarp.