VMware ESXi 6.5 includes VMware Tools for the most commonly used guest operating systems; Tools for other guests are available for download from My VMware. Similarly, Tools updates for those same bundled guests will be distributed through Update Manager, as they have been in the past, via the tools-light VIB.
The trapezius muscle is one of the largest muscles, extending down from the neck to the middle of the upper back and stretching across the shoulder blades. The main job of the trapezius muscle is to stabilize and move the shoulder blades (scapula).
Due to the make-up of this nerve exit hole, nerve symptoms typically increase with neck extension (bending the head backwards) and leaning the head to the side of the narrowed hole (painful side). The shoulder blade (scapula) is a common pain referral area for nerve pain (radiculopathy) generated from C4 or below.