The aims of this study were to (1) compare the immediate post-treatment effects of an instructional video versus a self-preferred program on the hip range of motion and a pressure pain threshold using two different density roller balls, and (2) compare the effects of the two roller balls on those variables. Forty adults were randomly allocated into four groups: (1) MB1-video, (2) MB1-self-preferred, (3) MBX-video, and (4) MBX-self-preferred. Participants followed a video or a self-preferred program using either a moderate (MB1) or a hard (MBX) density ball. Main outcomes were passive hip internal rotation, external rotation, and a pressure pain threshold. For MB1, the video produced greater outcomes than the self-program for external rotation (10◦ versus 2◦), internal rotation (7◦ versus 2◦), and the pain threshold (210 kPa versus 44 kPa). For MBX, the video produced greater outcomes than the self-program for external rotation (8◦ versus 1◦), internal rotation (5◦ versus 1◦), and the pain threshold (184 kPa versus 30 kPa). When comparing roller balls, the MB1 produced greater outcomes than the MBX for external rotation (10◦ versus 8◦), internal rotation (7◦ versus 5◦), and the pain threshold (210 kPa versus 184 kPa) with the video. For the self-preferred program, the MB1 produced greater outcomes for external rotation (2◦ versus 1◦), internal rotation (2◦ versus 1◦), and the pain threshold (44 kPa versus 30 kPa). The instructional video and a moderate density ball produced greater immediate post-treatment outcomes than the self-program and a hard density ball. Professionals should consider using the video to teach technique and match clients to a specific density-type roller ball.