The best way will be to create another account with permissions same as sa.
Run CMD from local admin (not domain account with admin rights!)
Now you may connect by MSSQL Management Studio to MS SQL Database by new account.
net stop MSSQLSERVER
net start MSSQLSERVER /m"SQLCMD"
sqlcmd
1> CREATE LOGIN <<login>> WITH PASSWORD='<<password>>'
2> GO
1> SP_ADDSRVROLEMEMBER <<login>>,'SYSADMIN'
2> GO
1> exit
net stop MSSQLSERVER && net start MSSQLSERVER