A lead anchor comprises a housing, and a plunger. The housing comprises a rigid body and a flexible covering disposed over at least a portion of the rigid body. The housing defines a first opening and a second opening configured and arranged to receive a lead. The housing further defines a transverse lumen. The rigid body comprises one or more projecting locking ridges extending into the transverse lumen. A plunger comprising one or more locking detents disposed thereon is configured and arranged for insertion into the transverse lumen and engaging a lead and locking with the housing by engagement of at least one of the one or more locking ridges of the housing with at least one of the one or more locking detents of the plunger. At least one suture element is formed by the flexible covering for receiving a suture to suture the lead anchor to patient tissue.