The other small Kensington trackball, the Orbit with scroll ring, is actually better and more comfortable to use than that more expensive one, or at least both myself and Mrs tlw reckon so having used both. The only catch is the lack of a middle button. You may find otherwise of course.
The Orbit without scroll ring is huge and feels cheap.
Logitech also make some nice trackballs.
If you want to avoid using a mouse (RSI problems in our case, plus mice use quite a bit of space) you might also consider touchpads which use the Windows 8 touch gestures.