An implantable lead anchor includes a first anchor housing, a second anchor housing, an armature, a spindle, and a locking arrangement. The first and second anchor housing each includes at least one channel to hold a portion of a lead. The armature is coupled to the first and the second anchor housings and holds the first and second anchor housings in a spaced-apart arrangement. A spindle is rotatably disposed on the armature and between the first and second anchor housing. In addition, the spindle includes a third channel to receive and hold a portion of a lead. The locking arrangement is formed on the spindle and at least one of the first or second anchor housing. The locking arrangement maintains the spindle in a rotated position relative to the first and second anchor housing when the locking arrangement is activated.