@Soblow i've had ok luck with the logitech trackballs, both the m570 and mx ergo. though they don't hold up amazingly under heavy use. i had to take the mx ergo apart to clean the scroll wheel
there's also clones that are a lot cheaper if you just want to try it. i got this one when i accidentally left the mx ergo at my parents' house https://www.amazon.com/dp/B0D2D127J2
i think this style which you use with your right thumb is the most accurate and easiest to adapt to after using a mouse (at least assuming that you're right handed). i've adjusted to this style so well that i even prefer it over a regular mouse for gaming
i also have a kensington orbit trackball mouse which i think is even more ergonomic (you use it with 2-3 fingers) but also a lot less accurate and harder to get used to tho is probably the best if you really want to avoid RSI
personally i'm a huge fan of trackballs no matter the type! i've been using the logitech style ones for like 8 years now and i think it's really helped me to to avoid getting RSI
i've only recently become aware of the ploopy trackballs and might invest in one of those, but for now i'm pretty happy with the small fleet of trackballs that i already have lol