A pipe adjustment tool for use in aligning the confronting ends of a pair of pipe sections having a joint therebetween provides a frame having a seating surface for acting against an exterior surface of a pipe section. The seating surface being disposed at a 45-degree angle relative to a threaded bore of the frame. A flexible clamping member is attached to the frame at one end and is a of length to substantially encircle the pipe section. The opposite end of the clamping member is received and secured by a retainer. The retainer and the frame are connected together by an articulated joint formed by a ball-shaped end of a threaded bolt extending through frame and a ball-shaped socket in the retainer. The retainer and frame are movably relative to each other by operating the threaded bolt to provide tension in the clamping member about the pipe section.