A pipeline support for use in severe geological conditions such as permafrost provides stability, strength and immovability of the pipeline support under relatively high pressure and that that allows an adjustment of a height or slope of the pipeline support. A method of using the support includes controlling the height or slope angle of the support during operation of the pipeline support. A spool of the support is installed and fixed on two support axes that are transverse beams installed in support frames and that can be moved along with the support spool. After that, movable power-operated mechanisms are positioned under each support axis. These mechanisms lift or lower the spool and support axes to the desired height and slope. The support axes are then fixed in frames at the desired height and spool slope angle.