The present invention relates generally to a device and methods for enhancing the proper ergonomics of the hand and wrist when using a keyboard, mouse, magic track pad, computer peripheral, writing instrument, or game controller such as a video game controller or an air hockey paddle. The wrist support device, according to the present invention, is comprised of an external pivot joint having an exterior surface that is rounded along a transverse axis and an interior coupling cavity configured to couple to a cushion. The cushion permanently attaches to the interior coupling cavity throughout the life of the cushion, which is most typically a number of months. The cushion releasably attaches to a human's hand or wrist for use when the person is working on a computer or performing other tasks such as typing, using a computer mouse, magic track pad that may cause a narrowing of the carpal tunnel or impinge blood flow to the median nerve, such as game playing or using peripheral controllers or devices.